Organization
JAMES R. HALDERMAN MD AMC
Active
Organization
JAMES R. HALDERMAN MD AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HALDERMAN MD (PRESIDENT/OWNER)
(209) 835-1500
Entity
Organization
Contact information
Practice address
1420 N TRACY BLVD, TRACY, CA 95376-3451
(209) 835-1500
Mailing address
PO BOX 7156, STOCKTON, CA 95267-0156
(209) 467-6866
(209) 467-6865
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A68157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A681570
—
CA
Enumeration date
06/08/2006
Last updated
08/04/2008
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