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Individual

DAVID P ENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 473-6555
(209) 473-6544
Mailing address
3116 W MARCH LN STE 200, STOCKTON, CA 95219-2370
(209) 473-6555
(209) 473-6544

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G791360
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G791360
CA
01
G79136
STATE LICENSE #
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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