STOCKDALE PODIATRY GROUP INC NPI 1902158074

NPI Information

STOCKDALE PODIATRY GROUP INC is a non pharmacy dispensing site in Bakersfield, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) STOCKDALE PODIATRY GROUP INC NPI is 1902158074. The provider is registered as an organization entity type.

The provider's business location address is:

3857 STOCKDALE HWY
BAKERSFIELD, CA
ZIP 93309-187
Phone: (661) 832-1666

The provider's authorized official is Mark L. Hamilton .
The authorized official title is Secretary and has the following contact phone number (661) 832-1666.

The CLIA number assigned to this NPI record is 05D2152724 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 10/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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