| Stockton Hospitalist Medical Group, Inc. | |
|
525 W Acacia St Stockton CA 95203-2405 | |
| (209) 944-5550 | |
| Not Available |
| Full Name | Stockton Hospitalist Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 W Acacia St, Stockton, California |
| Authorized Official Name and Position | Steven P Maron (PRESIDENT) |
| Authorized Official Contact | 5104369000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockton Hospitalist Medical Group, Inc. Po Box 25887 Oklahoma City OK 73125-0887 Ph: () - | Stockton Hospitalist Medical Group, Inc. 525 W Acacia St Stockton CA 95203-2405 Ph: (209) 944-5550 |
| NPI Number | 1891854907 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891854907 | NPI | - | NPPES |
| DD9216 | Other | CA | MCARE RAILROAD GROUP # |
| GR0100820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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