Individual
COURTNIE BILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1095 MARSHALL WAY, PLACERVILLE, CA 95667-5722
(530) 626-2920
(530) 748-0329
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2920
(530) 748-0329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GO503Z
PTAN
CA
Enumeration date
07/03/2009
Last updated
12/18/2013
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