Jack Andrew Harvey Dpm, Inc. | |
1210 E North St, Manteca, CA 95336-4962 | |
(209) 823-2700 | |
(209) 823-2779 |
Full Name | Jack Andrew Harvey Dpm, Inc. |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1210 E North St, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689052482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5204 (California) | Primary |
Provider Name | Jack A Harvey |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1033475678 PECOS PAC ID: 0941513550 Enrollment ID: I20150724010801 |
Mailing Address | Practice Location Address |
---|---|
Jack Andrew Harvey Dpm, Inc. 1210 E North St, Manteca, CA 95336-4962 Ph: (209) 823-2700 | Jack Andrew Harvey Dpm, Inc. 1210 E North St, Manteca, CA 95336-4962 Ph: (209) 823-2700 |
Dr. Howard Charles Miller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1210 E North St, Manteca, CA 95336 Phone: 209-823-9378 Fax: 209-823-9971 | |
Howard C. Miller, D.p.m., Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 1210 E North St, Manteca, CA 95336 Phone: 209-823-9378 | |
Mariel Telmo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 250 Northgate Dr, Manteca, CA 95336 Phone: 209-239-5299 Fax: 877-436-1494 |