David Lee Dutra, DPM

NPI #1700989118 in Jackson, California

Provider Information

NPI Number: 1700989118
Entity Type: Individual
Name: David Lee Dutra, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Sep 7, 2006
Last Updated: Nov 23, 2011

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

Provider Name	Specialty	City
David L Dutra Dpm INC	Podiatrist	Jackson	AI Deep Dive

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