| Mallard Inpatient Physicians | |
|
975 S Fairmont Ave Lodi CA 95240-5118 | |
| (309) 334-3411 | |
| Not Available |
| Full Name | Mallard Inpatient Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 975 S Fairmont Ave, Lodi, California |
| Authorized Official Name and Position | Angel Iscovich (MD) |
| Authorized Official Contact | 2147122403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallard Inpatient Physicians Po Box 41766 Philadelphia PA 19101-1766 Ph: (214) 712-2403 | Mallard Inpatient Physicians 975 S Fairmont Ave Lodi CA 95240-5118 Ph: (309) 334-3411 |
| NPI Number | 1881606846 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881606846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N/A (NU) | Primary |
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