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Stockton Cardio Thoracic Surg Md G
Vascular Surgery Physician in Stockton, California
NPI 1427180520

Stockton Cardio Thoracic Surg Md G is a Vascular Surgery Physician based in Stockton, CA and is specialized in Vascular Surgery. Stockton Cardio Thoracic Surg Md G practices in Stockton, CA. The NPI Number for Stockton Cardio Thoracic Surg Md G is 1427180520 and holds a License No. G23097 (California).

The current practice location address for Stockton Cardio Thoracic Surg Md G is 1617 N California St, Stockton, CA and can be reached out via phone at 209-948-1234 and via fax at 209-462-9233.

Location: 1617 N California St, Stockton, CA, 95204-6117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427180520
Provider Name
Stockton Cardio Thoracic Surg Md G
Credential
Provider Entity Type
Organization
Address
1617 N California St, Stockton, CA, 95204-6117
Phone Number
209-948-1234
Fax Number
209-462-9233
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR00053080 05 CA
institution
Provider Business Practice Location Address Details
Address
1617 N California St
City
Stockton
State
California
Zip
95204-6117
Phone Number
209-948-1234
Fax Number
209-462-9233
person
Provider Business Mailing Address Details
Address
1617 N California St
City
Stockton
State
California
Zip
95204-6117
Phone Number
209-948-1234
Fax Number
209-462-9233
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
G23097 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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