DAVID L DUTRA DPM INC NPI 1043339328

NPI Information

DAVID L DUTRA DPM INC is a podiatrist in Jackson, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DAVID L DUTRA DPM INC NPI is 1043339328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

613 NEW YORK RANCH RD
JACKSON, CA
ZIP 95642-328
Phone: (209) 223-3030
Fax: (209) 223-5864

The provider's authorized official is David L Dutra .
The authorized official title is Owner President and has the following contact phone number (209) 223-3030.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 4/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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