Individual
DR. AMY DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
6403 COYLE AVE STE 170, CARMICHAEL, CA 95608-0363
(916) 965-4000
(916) 965-4813
Mailing address
6403 COYLE AVE STE 170, CARMICHAEL, CA 95608-0363
(916) 965-4000
(916) 965-4813
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4292600001
DME SUPPLIER NUMBER
CA
Enumeration date
05/02/2007
Last updated
12/22/2021
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