Individual
DR. DAVID R GOTHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2204 PLAZA DR, SUITE 210, ROCKLIN, CA 95765-4413
(916) 771-9555
(916) 771-9556
Mailing address
2204 PLAZA DR, SUITE 210, ROCKLIN, CA 95765-4413
(916) 771-9555
(916) 771-9556
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A8894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX88940
—
CA
Enumeration date
11/04/2005
Last updated
04/07/2009
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