Qinzhi Gong M.D.

NPI 1619901394 - Anesthesiology - 207LP2900X

NPI Details
NPI 1619901394
Gender Male
Enumeration Date 07/10/2006
Last Updated 10/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2626 N CALIFORNIA ST
SUITE G
STOCKTON CA, 95204-5500, US
Phone (209) 464-9846
Fax (209) 464-4082
Business Location
2626 N CALIFORNIA ST
SUITE G
STOCKTON CA, 95204-5500, US
Phone (209) 464-9846
Fax (209) 464-4082
Toxanomy
Taxonomy Code 207LP2900X
License State California
License Number A79469
Remove 1619901394 NPI Number
 

According to our database, Qinzhi Gong M.D. NPI is 1619901394, taxonomy code is 207LP2900X and license number is A79469, license state is located at California. Qinzhi Gong M.D. physically located at 2626 N California St, Stockton CA, 95204-5500. NPI Number Qinzhi Gong M.D. has the Individual type.

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1619901394 NPI number is provided on an as is basis without warranty of any kind. 1619901394 is maintained by the National Plan & Provider Enumeration System. The contents of Qinzhi Gong M.D. are for informational purposes only.