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Individual

MAJID ROUBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1899 W MARCH LN, STOCKTON, CA 95207
(209) 623-4700
(209) 623-4710
Mailing address
1899 W MARCH LN, STOCKTON, CA 95207-6402
(209) 623-4700
(209) 623-4710

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
FR7717501
CA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
FR7717501
CA
390200000X
Student in an Organized Health Care Education/Training Program
125067106
IL

Other

Enumeration date
06/11/2015
Last updated
11/02/2020
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