Organization
SIERRA VALLEY LUNG & SLEEP MEDICAL GROUP INC
Active
Organization
SIERRA VALLEY LUNG & SLEEP MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G MONIE M.D. (PRESIDENT)
(209) 466-8011
Entity
Organization
Contact information
Practice address
1805 N CALIFORNIA ST, SUITE 206, STOCKTON, CA 95204-6037
(209) 466-8011
(209) 466-0250
Mailing address
1805 N CALIFORNIA ST, SUITE 206, STOCKTON, CA 95204-6037
(209) 466-8011
(209) 466-0250
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G311730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090860
—
CA
Enumeration date
05/01/2007
Last updated
03/11/2014
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