Individual provider · Type 1 NPI

Cory Jerome Barge I

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1013814342 Active

Practice location

2405 Manchester Ave
Stockton, CA 95204-5029

Call (601) 807-8007 Map

Other practice locations

  • 7707 Austin Rd, Stockton, CA 95215-8312 · (209) 467-1709

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013814342

Cory Jerome Barge I's National Provider Identifier is 1013814342, issued on Oct 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Oct 29, 2026.