Individual
KELLY JO DOERZBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 SUTTER PL, DAVIS, CA 95616-6201
(707) 330-8191
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A106787
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2015
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