| George R Herron Jr Md Inc | |
|
1610 N El Dorado St Ste 17 Stockton CA 95204-5930 | |
| (209) 465-5107 | |
| Not Available |
| Full Name | George R Herron Jr Md Inc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 1610 N El Dorado St Ste 17, Stockton, California |
| Authorized Official Name and Position | George Herron (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2094655107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George R Herron Jr Md Inc 1610 N El Dorado St Ste 17 Stockton CA 95204-5930 Ph: () - | George R Herron Jr Md Inc 1610 N El Dorado St Ste 17 Stockton CA 95204-5930 Ph: (209) 465-5107 |
| NPI Number | 1518040799 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 02/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518040799 | NPI | - | NPPES |
| 00G100820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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