Individual
DR. EZELL ASKEW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
(209) 603-9217
(209) 594-1665
Mailing address
801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
(209) 603-9217
(209) 594-1665
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2000-07
NM
2085R0204X
Vascular & Interventional Radiology Physician
2000-07
NM
208VP0014X
Interventional Pain Medicine Physician
Primary
A90462
CA
Other
Enumeration date
09/15/2005
Last updated
12/03/2015
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