Daryl R Dutter Md Inc

LBN: Daryl R Dutter Md Inc
Daryl R Dutter Md Inc is an health care organization with primary practice located at 521 N Wilma Ave Ste A , Ripon CA 95366-9503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Daryl R Dutter Md Inc can be contacted via phone (209) 599-4211, or through Dutter, Daryl R via phone (209) 599-4211.

Contact Information

Primary practice address
521 N Wilma Ave Ste A Ripon CA 95366-9503
Phone: (209) 599-4211
Fax: (209) 599-7348
Website:
Map and Directions
Authorized official contact:
Name: Dutter, Daryl R Doctor of Medicine (MD)
Phone: (209) 599-4211

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G57233 California

Profile Details

NPI number 1992025332
LBN Legal business name Daryl R Dutter Md Inc
DBA Doing business as
Authorized official Dutter, Daryl R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2010
Last updated Jan 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992025332 NPPES
California MEDICAID 00G572330
California Other 080009801

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