| 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  | 
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: 1234 E North St Ste 106, 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  |