Delta Podiatry Group, Inc.

NPI 1023169471 - Podiatrist - 213E00000X

NPI Details
NPI 1023169471
Enumeration Date 01/14/2007
Last Updated 04/02/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LYNN ROBERT LYNN
Position PRESIDENT
Phone (209) 464-7367
Fax (209) 464-1801
Practice Location
1205 N HUNTER ST
STOCKTON CA, 95202-1409, US
Phone (209) 464-7367
Fax (209) 464-1801
Business Location
1205 N HUNTER ST
STOCKTON CA, 95202-1409, US
Phone (209) 464-7367
Fax (209) 464-1801
Toxanomy
Taxonomy Code 213E00000X
License State California
License Number E1406
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According to our database, Delta Podiatry Group, Inc. NPI is 1023169471, taxonomy code is 213E00000X and license number is E1406, license state is located at California. Delta Podiatry Group, Inc. physically located at 1205 N Hunter St, Stockton CA, 95202-1409. NPI Number 1033115704 has the healthcare provider type.

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1023169471 NPI number is provided on an as is basis without warranty of any kind. 1023169471 is maintained by the National Plan & Provider Enumeration System. The contents of Delta Podiatry Group, Inc. are for informational purposes only.