Individual
DR. KEITH BRADLEY QUATTROCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FACS
Contact information
Practice address
140 B ST, SUITE 5, DAVIS, CA 95616-4653
(530) 401-0643
Mailing address
140 B ST, SUITE 5, DAVIS, CA 95616-4653
(530) 401-0643
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G58571
CA
Other
Enumeration date
08/10/2005
Last updated
01/25/2012
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