Organization
PRIME ENT SINUS SLEEP & ALLERGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILPA S MALIK MD (OWNER)
(614) 595-2033
Entity
Organization
Contact information
Practice address
1503 E MARCH LN STE A, STOCKTON, CA 95210-5622
(209) 315-0400
(209) 314-6455
Mailing address
PO BOX 1450, LODI, CA 95241-1450
(209) 315-0400
(209) 314-6455
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
05/25/2023
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