TRACY DERMATOLOGY MEDICAL GROUP

TRACY, CA
NPI1871593194
Entity TypeOrganization
Authorized ContactN CHARLES DIAKON
Owner
209-836-2220
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  20A4430)
Additional Taxonomies207N00000X Dermatology
(Licence: CA  G49728)
Enumeration Date2005-07-28
Last Update Date2020-08-22
Business Address
TRACY DERMATOLOGY MEDICAL GROUP
1470 BESSIE AVE
TRACY, CA 95376-3417
Phone number: 209-836-2220
Mailing Address
TRACY DERMATOLOGY MEDICAL GROUP
1470 BESSIE AVE
TRACY, CA 95376-3417
Phone number: 209-836-2220
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