Individual
DAVID PIROCHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 BAYONET CIR, MARINA, CA 93933-4600
(831) 384-7251
Mailing address
617 BAYONET CIR, MARINA, CA 93933-4600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770936478
—
CA
Enumeration date
07/23/2017
Last updated
07/23/2017
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