| Jack Andrew Harvey Dpm, Inc. | |
|
1210 E North St, Manteca, CA 95336-4962 | |
| (209) 823-2700 | |
| (209) 823-2779 |
| Full Name | Jack Andrew Harvey Dpm, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1210 E North St, Manteca, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689052482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5204 (California) | Primary |
| Provider Name | Jack A Harvey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033475678 PECOS PAC ID: 0941513550 Enrollment ID: I20150724010801 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Andrew Harvey Dpm, Inc. 1210 E North St, Manteca, CA 95336-4962 Ph: (209) 823-2700 | Jack Andrew Harvey Dpm, Inc. 1210 E North St, Manteca, CA 95336-4962 Ph: (209) 823-2700 |
Nicole Pham, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1140 Norman Dr Ste 1, Manteca, CA 95336 Phone: 209-823-2700 | |
Dr. Howard Charles Miller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1210 E North St, Manteca, CA 95336 Phone: 209-823-9378 Fax: 209-823-9971 | |
Howard C. Miller, D.p.m., Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 1210 E North St, Manteca, CA 95336 Phone: 209-823-9378 | |
Nicole Pham Dpm Professional Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1140 Norman Dr Ste 1, Manteca, CA 95336 Phone: 209-823-2700 | |
Mariel Telmo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 250 Northgate Dr, Manteca, CA 95336 Phone: 209-239-5299 Fax: 877-436-1494 |