Organization
STOCKTON PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGUNATH K REDDY MD (FAMILY PRACTICE)
(209) 946-4000
Entity
Organization
Contact information
Practice address
2068 SNOWBIRD DR, LODI, CA 95242-4754
(209) 333-0259
(209) 333-0259
Mailing address
1805 N CALIFORNIA ST STE 102, STOCKTON, CA 95204-6032
(209) 946-4000
(209) 946-4002
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20440
CA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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