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Individual

MR. JOHN HOWARTH KIRK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 SAINT HELENA HWY S, SAINT HELENA, CA 94574-2266
(707) 967-7550
(707) 963-5083
Mailing address
PO BOX 228, SAINT HELENA, CA 94574-0228
(707) 967-7550
(707) 963-5083

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A54807
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0081500
CA
01
GR0081501
MEDI-CAL
CA
Enumeration date
07/24/2006
Last updated
06/16/2016
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