INDRA DE M.D., INC.
Osteopathic Medicine at California St, Stockton, CA

License number
California C52396
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: INDRA DE MD, PHD
Title: PHYSICIAN
Phone: (209) 462-9100
Address
Address
2626 N California St STE F, Stockton, CA 95204
National Provider ID: 1316147986
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INDRA DE, M.D., INC

2626 N California St STE F, Stockton, CA 95204

Industry:
Internist
Doing business as:
Indra De MD,PHD
Registration:
Jun 6, 2007
Phone:
(209) 462-9100 (Phone)
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
C3001048
Business type:
Articles of Incorporation
President:
Indra De (President)
Agent:
Indra De,Stockton, CA 95204 (Physical)

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