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San Joaquin Hematology Oncology A Pc
Specialist in Tracy, California
NPI 1013123496

San Joaquin Hematology Oncology A Pc is a Specialist based in Stockton, CA. San Joaquin Hematology Oncology A Pc practices in Tracy, CA. The NPI Number for San Joaquin Hematology Oncology A Pc is 1013123496 and holds a License No. A70883 (California).

The current practice location address for San Joaquin Hematology Oncology A Pc is 4600 S Tracy Blvd Ste 108, Tracy, CA and can be reached out via phone at 209-839-9115 and via fax at 209-833-7262.

Location: 4600 S Tracy Blvd Ste 108, Tracy, CA, 95267-0667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013123496
Provider Name
San Joaquin Hematology Oncology A Pc
Credential
Provider Entity Type
Organization
Address
4600 S Tracy Blvd Ste 108, Tracy, CA, 95267-0667
Phone Number
209-839-9115
Fax Number
209-833-7262
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5337360001 01 CA DMERC NUMBER
institution
Provider Business Practice Location Address Details
Address
4600 S Tracy Blvd Ste 108
City
Tracy
State
California
Zip
95377-8105
Phone Number
209-839-9115
Fax Number
209-833-7262
person
Provider Business Mailing Address Details
Address
4600 S Tracy Blvd Ste 108
City
Tracy
State
California
Zip
95377-8105
Phone Number
209-839-9115
Fax Number
209-833-7262
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A70883 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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