Dr George W Mowry, MD | |
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
(209) 339-7575 | |
Not Available |
Full Name | Dr George W Mowry |
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Gender | Male |
Speciality | Surgery |
Location | 975 S Fairmont Ave, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760404065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G24980 (California) | Primary |
208600000X | Surgery | G24980 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
---|---|
Dr George W Mowry, MD 1409 W Vine St, Lodi, CA 95242-3861 Ph: (707) 688-9896 | Dr George W Mowry, MD 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 339-7575 |
Dr. Denny Schoch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 | |
Dr. Tony M Chang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln Ste E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476 | |
Gordon Thomas Fahey Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 | |
Dr. Rolando G Simeon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln, Suite E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476 | |
Dr. Michael Ketelaar, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1231 W Vine St, Lodi, CA 95240 Phone: 209-368-7121 Fax: 209-368-5750 | |
Nagui Nabil Sorour, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave #100, Lodi, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 |