Individual
CHARLES STOCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1236 N EL DORADO ST STE ABC, STOCKTON, CA 95202-1324
(209) 944-5517
Mailing address
1236 N EL DORADO ST STE ABC, STOCKTON, CA 95202-1324
(209) 944-5517
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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