David R. Gotham, Jr., D.o., Incorporated

NPI #1114110640 in Rocklin, California

Provider Information

NPI Number: 1114110640
Entity Type: Organization
Organization Name: David R. Gotham, Jr., D.o., Incorporated
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 17, 2007
Last Updated: Jul 30, 2009

Practice Location

Address: 2204 PLAZA DR
Address 2: SUITE 210
City: Rocklin
State: California
ZIP Code: 95765-4413
Phone: (916) 771-9555

Authorized Official

Name: DR. DAVID R GOTHAM JR., D.O.
Title: PRESIDENT
Phone: (916) 616-0510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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