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Vitune Vongtama, MD
Radiation Oncology Physician in Stockton, California
NPI 1598793507

Vitune Vongtama is a Radiation Oncology Physician based in Stockton, CA and is specialized in Radiation Oncology. Vitune Vongtama practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Vitune Vongtama is 1598793507 and holds a License No. A29753 (California).

The current practice location address for Vitune Vongtama is 4722 Quail Lakes Dr, Stockton, CA and can be reached out via phone at 209-472-1848 and via fax at 209-472-0133.

Location: 4722 Quail Lakes Dr, Stockton, CA, 95219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598793507
Provider Name
Vitune Vongtama
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4722 Quail Lakes Dr, Stockton, CA, 95219
Phone Number
209-472-1848
Fax Number
209-472-0133
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A297530 05 CA
institution
Provider Business Practice Location Address Details
Address
4722 Quail Lakes Dr
City
Stockton
State
California
Zip
95207-5244
Phone Number
209-472-1848
Fax Number
209-472-0133
person
Provider Business Mailing Address Details
Address
4722 Quail Lakes Dr
City
Stockton
State
California
Zip
95207-5244
Phone Number
209-472-1848
Fax Number
209-472-0133
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
A29753 (California)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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