Organization
LODI OBSTETRICS AND GYNECOLOGY MEDICAL GROUP
Active
Other names
Lodi Ob Gyn Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GLENN HOWEN M.D. (PRESIDENT)
(209) 334-3333
Entity
Organization
Contact information
Practice address
999 S FAIRMONT AVE, SUITE 200, LODI, CA 95240-5100
(209) 334-3333
(209) 369-2641
Mailing address
999 S FAIRMONT AVE, SUITE 200, LODI, CA 95240-5100
(209) 334-3333
(209) 369-2641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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