Individual
DR. DERALD W ROCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 FOWLER WAY, SUITE C, PLACERVILLE, CA 95667-5701
(530) 622-1283
(530) 622-0283
Mailing address
1008 FOWLER WAY STE C, PLACERVILLE, CA 95667-5701
(916) 676-1450
(916) 676-1447
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G25083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G250830
—
CA
Enumeration date
07/16/2006
Last updated
11/11/2010
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