Organization
STEPHANIE PULIKKOTTIL JOSEPH M.D. MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SCHEIDEGGER (BILLING MANAGER)
(925) 820-4335
Entity
Organization
Contact information
Practice address
345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
(805) 489-4261
Mailing address
PO BOX 324, DANVILLE, CA 94526-0324
(925) 820-4335
(925) 820-7996
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A137779
CA
Other
Enumeration date
01/12/2017
Last updated
03/21/2017
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