M Haggerty MD INC
Anesthesiology in Tracy, CA. Organization (NPI-2).
NPI number1801008909
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1801008909
- Entity type
- Organization (NPI-2)
- Legal business name
- M Haggerty MD INC
- Organization subpart
- No
- Enumeration date
- May 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | G85149 | CA | Yes |
Practice location
1420 N Tracy BlvdTracy, CA 95376-3451
Phone 209-835-1500
Mailing address
Po Box 7156Stockton, CA 95267-0156
Phone 209-467-6866
Authorized official
Margaret Mary Haggerty
President
2098328370
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