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Organization
JACK ANDREW HARVEY DPM, INC.
Active
Organization
JACK ANDREW HARVEY DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK ANDREW HARVEY DPM (PRESIDENT)
(209) 823-2700
Entity
Organization
Contact information
Practice address
1210 E NORTH ST, MANTECA, CA 95336-4962
(209) 823-2700
(209) 823-2779
Mailing address
1210 E NORTH ST, MANTECA, CA 95336-4962
(209) 823-2700
(209) 823-2779
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5204
CA
Other
Enumeration date
05/12/2015
Last updated
05/21/2015
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