Individual
DR. BRETT JAMES DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
651 1ST ST W, SONOMA, CA 95476-7045
(707) 938-1977
(410) 749-6807
Mailing address
651 1ST ST W, SONOMA, CA 95476-7045
(707) 938-1977
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5537
PODIATRIC MEDICAL BOARD OF CA
CA
Enumeration date
06/29/2013
Last updated
03/18/2020
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