Delta Podiatry Group, Inc.

NPI #1023169471 in Stockton, California

Provider Information

NPI Number: 1023169471
Entity Type: Organization
Organization Name: Delta Podiatry Group, Inc.
Primary Specialty: Podiatrist
Enumeration Date: Jan 14, 2007
Last Updated: Apr 2, 2009

Practice Location

Address: 1205 N HUNTER ST
City: Stockton
State: California
ZIP Code: 95202-1409
Phone: (209) 464-7367

Authorized Official

Name: LYNN ROBERT JOHNSON, DPM
Title: PRESIDENT
Phone: (209) 464-7367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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