Organization
STOCKDALE PODIATRY GROUP INC
Active
Parent organization
STOCKDALE PODIATRY GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STOCKDALE PODIATRY GROUP INC
Authorized official
DR. MARK L. HAMILTON DPM (SECRETARY)
(661) 832-1666
Entity
Organization
Contact information
Practice address
3857 STOCKDALE HWY, BAKERSFIELD, CA 93309-2187
(661) 832-1666
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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