| Geraldine M Dutra, PA | |
|
632 W Gibson Rd, Woodland, CA 95695-5169 | |
| (530) 668-2600 | |
| Not Available |
| Full Name | Geraldine M Dutra |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 632 W Gibson Rd, Woodland, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396917043 | NPI | - | NPPES |
| GR0079250 | Medicaid | CA | |
| ZZZ13239Z | Other | CA | GROUP PTAN |
| PA14146 | Other | CA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA14146 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Geraldine M Dutra, PA 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600 | Geraldine M Dutra, PA 632 W Gibson Rd, Woodland, CA 95695-5169 Ph: (530) 668-2600 |
Lauran Jeannine-renjard Neubuerger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 475 Pioneer Ave Ste 400, Woodland, CA 95776 Phone: 530-406-5600 Fax: 530-406-5626 | |
Mr. Isaac Dominguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1027 | |
Ofili Okolonwamu, N.P., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-668-4777 | |
Loretta R Winn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-668-4777 | |
Mrs. Kristen M Webster, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1321 Cottonwood St Fl 3, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-669-5446 | |
Mrs. Michelle Lynn Ing, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 632 W Gibson Rd, Woodland, CA 95695 Phone: 530-662-3961 Fax: 530-661-0880 | |
Mrs. Amy Blackard Lemes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2081 Bronze Star Dr, Woodland, CA 95776 Phone: 530-668-2600 Fax: 530-661-1081 |