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Organization

STOCKTON MEDICAL WEIGHT LOSS CENTER INC

Active
Parent organization
STOCKTON MEDICAL WEIGHT LOSS CENTER INC
Other names
Pacific Medical Weight Loss
Organization subpart
Yes

Provider details

NPI number
Legal business name
STOCKTON MEDICAL WEIGHT LOSS CENTER INC
Authorized official
DR. DAREN STEPHEN PRIMACK MD (OWNER)
(209) 242-3334
Entity
Organization

Contact information

Practice address
1801 E. MARCH LANE, SUITE 400D, STOCKTON, CA 95210
(209) 242-3334
Mailing address
1801 E. MARCH LANE, SUITE 400D, STOCKTON, CA 95210
(209) 242-3334

Taxonomy

Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
G68135
CA

Other

Enumeration date
03/17/2010
Last updated
03/17/2010
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