| NPI | 1720208481 |
|---|---|
| Doing Business As | STOCKTON UROLOGICAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RONALD C. ALLISON Owner 209-943-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G15360) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-03-06 |