David R Gotham JR. DO

NPI 1023009297 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1023009297
Gender Male
Enumeration Date 11/04/2005
Last Updated 04/07/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
2204 PLAZA DR
SUITE 210
ROCKLIN CA, 95765-4413, US
Phone (916) 771-9555
Fax (916) 771-9556
Business Location
2204 PLAZA DR
SUITE 210
ROCKLIN CA, 95765-4413, US
Phone (916) 771-9555
Fax (916) 771-9556
Toxanomy
Taxonomy Code 207X00000X
License State California
License Number 20A8894
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According to our database, Dr. David R Gotham JR. DO NPI is 1023009297, taxonomy code is 207X00000X and license number is 20A8894, license state is located at California. David R Gotham JR. DO physically located at 2204 Plaza Dr, Rocklin CA, 95765-4413. NPI Number David R Gotham JR. DO has the Individual type.

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1023009297 NPI number is provided on an as is basis without warranty of any kind. 1023009297 is maintained by the National Plan & Provider Enumeration System. The contents of David R Gotham JR. DO are for informational purposes only.