Organization
ROLAND HART MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND HART MD (OWNER)
(209) 957-3821
Entity
Organization
Contact information
Practice address
3031 W MARCH LN, SUITE 336E, STOCKTON, CA 95219-6500
(209) 957-3821
(209) 957-1179
Mailing address
3031 W MARCH LN, SUITE 336E, STOCKTON, CA 95219-6500
(209) 957-3821
(209) 957-1179
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C34191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C341910
—
CA
Enumeration date
03/26/2008
Last updated
03/26/2008
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