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DR. KATHERINE ANNE TALBERT ESTLIN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255574885

Individual Registrant:
DR. KATHERINE ANNE TALBERT ESTLIN MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1523 MAIN ST  FORTUNA, CA 95540-2430 US
Tel: 707-726-2255  Fax: --

Contact information for business:
670 9TH ST STE 203  ARCATA, CA 95521-6249 US
Tel: 707-826-7633  Fax: 707-826-8638

Registration Information:
NPI: 1255574885
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
WAMD60236707
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA143957

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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