Organization
JACK ANDREW HARVEY DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK ANDREW HARVEY DPM (PRESIDENT)
(209) 823-2700
Entity
Organization
Contact information
Practice address
1210 E NORTH ST, MANTECA, CA 95336-4962
(209) 823-2700
(209) 823-2779
Mailing address
1210 E NORTH ST, MANTECA, CA 95336-4962
(209) 823-2700
(209) 823-2779
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5204
CA
Other
Enumeration date
05/12/2015
Last updated
05/21/2015
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