Shock Thomas Gen Ptr | |
1300 W Lodi Ave, Ste W, Lodi, CA 95242-3038 | |
(209) 334-6664 | |
(209) 334-2379 |
Full Name | Shock Thomas Gen Ptr |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1300 W Lodi Ave, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750360699 | NPI | - | NPPES |
000E32410 | Medicaid | CA | |
000E34670 | Medicaid | CA |
Provider Name | Kevin Stroh |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104829431 PECOS PAC ID: 3577549443 Enrollment ID: I20100921001399 |
Provider Name | Alexander Curfman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316327240 PECOS PAC ID: 0840507703 Enrollment ID: I20170901002840 |
Provider Name | Andy Archuleta |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407417744 PECOS PAC ID: 5395103683 Enrollment ID: I20230619001190 |
Mailing Address | Practice Location Address |
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Shock Thomas Gen Ptr 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3038 Ph: (209) 334-6664 | Shock Thomas Gen Ptr 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3038 Ph: (209) 334-6664 |
Kevin Irving Stroh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Ste W, Lodi, CA 95242 Phone: 209-334-6664 Fax: 209-334-2379 | |
Alexander J Curfman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave Ste W, Lodi, CA 95242 Phone: 209-334-6664 Fax: 209-334-2379 | |
Dr. Andy Archuleta, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1300 W Lodi Ave Ste W, Lodi, CA 95242 Phone: 209-334-6664 |