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Organization
EZELL ASKEW MD INC
Active
Organization
EZELL ASKEW MD INC
Active
Other names
The Askew Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZELL ASKEW JR. MD (DIRECTOR)
(505) 401-6092
Entity
Organization
Contact information
Practice address
801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
(209) 603-9217
(209) 594-1665
Mailing address
801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
(209) 603-9217
(209) 594-1665
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A90462
CA
Other
Enumeration date
01/05/2015
Last updated
03/20/2015
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