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Individual

CARLA ISABEL DOCHARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3800 J ST, SUITE 200, SACRAMENTO, CA 95816-5551
(916) 453-8900
(916) 454-4359
Mailing address
3800 J ST, SUITE 200, SACRAMENTO, CA 95816-5551
(916) 453-8900
(916) 454-4359

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3869
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E38692
CA
01
480015328
OLD RR PROVIDER #
CA
01
P00454692
RR INDIVIDUAL PROV. #
CA
Enumeration date
09/02/2006
Last updated
03/15/2013
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