Organization
GERRY F EMMANUEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERRY F EMMANUEL MD (GROUP PRESIDENT)
(209) 667-4200
Entity
Organization
Contact information
Practice address
1801 COLORADO AVE, #140, TURLOCK, CA 95382-2706
(209) 656-8771
(209) 216-3475
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098860
—
CA
Enumeration date
05/19/2006
Last updated
07/03/2012
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