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Dr. Jack Leonard Funamura, MD
Diagnostic Radiology Physician in Stockton, California
NPI 1407915739

Jack Leonard Funamura is a Diagnostic Radiology Physician based in Stockton, CA and is specialized in Diagnostic Radiology. Jack Leonard Funamura practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Jack Leonard Funamura is 1407915739 and holds a License No. G35134 (California).

The current practice location address for Jack Leonard Funamura is 2320 N California St, Stockton, CA and can be reached out via phone at 209-466-2000 and via fax at 209-466-2600. You can also correspond with Jack Leonard Funamura through the mailing address at 2320 NORTH CALIFORNIA STREET, STOCKTON, CA - 95204-5509 (mailing address contact number: 209-466-2000).

Location: 2320 N California St, Stockton, CA, 95204-5509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407915739
Provider Name
Jack Leonard Funamura
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2320 N California St, Stockton, CA, 95204-5509
Phone Number
209-466-2000
Fax Number
209-466-2600
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2320 N California St
City
Stockton
State
California
Zip
95204-5509
Phone Number
209-466-2000
Fax Number
209-466-2600
person
Provider Business Mailing Address Details
Address
2320 North California Street
City
Stockton
State
California
Zip
95204-5509
Phone Number
209-466-2000
Fax Number
209-466-2600
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G35134 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G35134 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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