David L Dutra Dpm INC

NPI #1043339328 in Jackson, California

Provider Information

NPI Number: 1043339328
Entity Type: Organization
Organization Name: David L Dutra Dpm INC
Primary Specialty: Podiatrist
Enumeration Date: Mar 28, 2007
Last Updated: Apr 27, 2011

Practice Location

Address: 613 NEW YORK RANCH RD
City: Jackson
State: California
ZIP Code: 95642-9328
Phone: (209) 223-3030

Authorized Official

Name: DR. DAVID L DUTRA, D.P.M.
Title: OWNER PRESIDENT
Phone: (209) 223-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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