Mallard Inpatient Physicians | |
975 S Fairmont Ave Lodi CA 95240-5118 | |
(309) 334-3411 | |
Not Available |
Full Name | Mallard Inpatient Physicians |
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Speciality | Internal Medicine |
Location | 975 S Fairmont Ave, Lodi, California |
Authorized Official Name and Position | Angel Iscovich (MD) |
Authorized Official Contact | 2147122403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mallard Inpatient Physicians Po Box 41766 Philadelphia PA 19101-1766 Ph: (214) 712-2403 | Mallard Inpatient Physicians 975 S Fairmont Ave Lodi CA 95240-5118 Ph: (309) 334-3411 |
NPI Number | 1881606846 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
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1881606846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | N/A (* (Not Available)) | Primary |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400 |