Organization
NATHAN A. KLUDT, MD, INC
Active
Other names
Plastic Surgery Center of Stockton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ANDREW KLUDT MD (PRESIDENT)
(209) 870-7100
Entity
Organization
Contact information
Practice address
1805 N CALIFORNIA ST STE 405, STOCKTON, CA 95204-6033
(209) 870-7100
(209) 870-7116
Mailing address
1805 N CALIFORNIA ST STE 405, STOCKTON, CA 95204-6033
(209) 870-7100
(209) 870-7116
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A110013
CA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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