Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERALDINE M DUTRA, P.A.
ActiveGERALDINE M DUTRA, P.A. is a Surgical Physician Assistant healthcare provider located in WOODLAND, California. NPI 1396917043 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WOODLAND, CA
Registration Details
- NPI Number
- 1396917043
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2008 (18.227741356113 yrs)
- Last Updated
- Feb 14, 2012
- License
-
PA14146 (CA)
Practice Information
- Address
-
632 W GIBSON RDWOODLAND, CA, 956955169Browse CA providers · Browse ZIP 95695
- Phone
- 5306682600
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WOODLAND, CA
| Name | Credential | NPI |
|---|---|---|
| MARK ALAN TILLEY | PA-C | 1720177884 |
| MICHAEL A TROFIMENKO | P.A.-C | 1164699344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.