Individual
MARANDA PAHLKOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 N CALIFORNIA ST, STOCKTON, CA 95204-6005
(209) 946-6800
(209) 946-6805
Mailing address
3400 DATA DR, ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A200351
CA
Other
Enumeration date
04/10/2015
Last updated
09/26/2025
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