Organization · Type 2 NPI
Center for Sight of Stockton A Medical Corporation
Specialist · Tracy, CA
NPI number
1114941796
Active
Practice location
612 W 11th St, Suite 103
Tracy, CA 95376-3855
Fax (209) 836-3917
Mailing address
1899 W. March Lane
Stockton, CA 95207-6402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1114941796
Center for Sight of Stockton A Medical Corporation's National Provider Identifier is 1114941796, issued on Jul 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tracy, CA. The record was last updated on Sep 1, 2017.