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Contact Information

MAGGIE PARK
7210 MURRAY DR
STOCKTON, CA95210
 Phone: 209-373-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAGGIE PARK · (Female)

NPI # 1639290463
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2007
Last updated 03/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A79109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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