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Organization
STOCKTON NEUROLOGICAL MEDICAL CLINIC, INC
Active
Organization
STOCKTON NEUROLOGICAL MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN DAVID CLIFT M.D. (PRESIDENT)
(209) 466-3551
Entity
Organization
Contact information
Practice address
2815 N CALIFORNIA ST, STOCKTON, CA 95204-3738
(209) 466-3551
(209) 465-7437
Mailing address
2815 N CALIFORNIA ST, STOCKTON, CA 95204-3738
(209) 466-3551
(209) 465-7437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G16430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067140
—
CA
Enumeration date
02/01/2008
Last updated
02/01/2008
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