Provider First Line Business Practice Location Address:
2488 N CALIFORNIA ST
Provider Second Line Business Practice Location Address:
ALPINE ORTHOPAEDIC MEDICAL GROUP INC
Provider Business Practice Location Address City Name:
STOCKTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95204-5508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-948-3333
Provider Business Practice Location Address Fax Number:
209-948-2665
Provider Enumeration Date:
05/24/2006