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Alpine Orthopaedic Medical Group INC

Orthopaedic Surgery in Stockton, CA. Organization (NPI-2).

NPI number1114005352
StatusActive
Last updated in NPPESJan 18, 2023

Details

NPI
1114005352
Entity type
Organization (NPI-2)
Legal business name
Alpine Orthopaedic Medical Group INC
Organization subpart
No
Enumeration date
Nov 2, 2006
Certification date
Jan 18, 2023
Last updated
Jan 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery––
207XS0106X Orthopaedic Surgery, Hand Surgery––
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine––
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery––
207XX0005X Orthopaedic Surgery, Sports Medicine––
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery––
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma––

Practice location

2488 N. California St
Stockton, CA 95204-5508

Phone 209-948-3333 · Fax 209-948-3330

Mailing address

2488 N. California St
Stockton, CA 95204-5508

Phone 209-948-3333 · Fax 209-948-3330

Authorized official

Anne Dunn McCune
Practice Administration
2099467139

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