Organization
DERALD W ROCHAT, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERALD W ROCHAT M.D. (OWNER)
(530) 622-1283
Entity
Organization
Contact information
Practice address
1008 FOWLER WAY STE C, PLACERVILLE, CA 95667-5701
(530) 622-1283
(530) 622-0283
Mailing address
1008 FOWLER WAY STE C, PLACERVILLE, CA 95667-5701
(530) 622-1283
(530) 622-0283
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G25083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G250830
—
CA
01
—
D02799
RAILROAD MEDICARE
CA
Enumeration date
03/14/2007
Last updated
12/10/2018
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