Organization
DELBON ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY F EMMANUEL MD (GROUP PRESIDENT)
(209) 667-4200
Entity
Organization
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 667-4200
(209) 656-5569
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103460
—
CA
Enumeration date
07/12/2006
Last updated
10/16/2007
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