Center for Sight of Stockton a Medical Corporation

NPI #1114941796 in Tracy, California

Provider Information

NPI Number: 1114941796
Entity Type: Organization
Organization Name: Center for Sight of Stockton a Medical Corporation
Primary Specialty: Specialist
Enumeration Date: Jul 27, 2006
Last Updated: Sep 1, 2017

Practice Location

Address: 612 W 11TH ST
Address 2: SUITE 103
City: Tracy
State: California
ZIP Code: 95376-3855
Phone: (209) 836-4800

Authorized Official

Name: PHILIP E EDINGTON, MD
Title: DIRECTOR
Phone: (209) 948-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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