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Organization
YI-PO ANTHONY WU.,M.D.,M.P.H.,INC
Active
Organization
YI-PO ANTHONY WU.,M.D.,M.P.H.,INC
Active
Other names
Pacific Complementary Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YI-PO A WU M.D. (CHIEF EXECUTIVE OFFICER)
(209) 464-4800
Entity
Organization
Contact information
Practice address
645 W HARDING WAY STE 15, STOCKTON, CA 95204-5688
(209) 464-4800
(209) 464-1289
Mailing address
645 W HARDING WAY STE 15, STOCKTON, CA 95204-5688
(209) 464-4800
(209) 464-1289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A40605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110008044
RAILROAD MEDICARE
CA
Enumeration date
05/21/2008
Last updated
08/22/2008
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