Organization
EZELL ASKEW MD INC
Active
Other names
The Askew Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZELL ASKEW JR. MD (DIRECTOR)
(505) 401-6092
Entity
Organization
Contact information
Practice address
801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
(209) 603-9217
(209) 594-1665
Mailing address
801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
(209) 603-9217
(209) 594-1665
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A90462
CA
Other
Enumeration date
01/05/2015
Last updated
03/20/2015
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