Organization
STOCKDALE PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HAWKINS DPM (DOCTOR/OWNER)
(661) 832-1666
Entity
Organization
Contact information
Practice address
110 NEW STINE RD, BAKERSFIELD, CA 93309-2605
(661) 832-1666
(661) 832-2039
Mailing address
110 NEW STINE RD, BAKERSFIELD, CA 93309-2605
(661) 832-1666
(661) 832-2039
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A76044
LIC-MIHALUTA
CA
01
—
E3008
LIC-DR.HAMILTON
CA
01
—
E3301
LIC-DR.MILLER
CA
01
—
E3891
LIC-DR.PASABOC
CA
01
—
E4648
LIC # HAWKINS
CA
Enumeration date
09/16/2006
Last updated
03/07/2023
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