Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ANDREW HARVEY, D.P.M
Active Sole ProprietorJACK ANDREW HARVEY, D.P.M is a Foot & Ankle Surgery Podiatrist healthcare provider located in MANTECA, California. NPI 1033475678 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · MANTECA, CA
Registration Details
- NPI Number
- 1033475678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2012 (14.394154514442 yrs)
- Last Updated
- Aug 17, 2016
- Licenses
-
E5204 (CA)E-5204 (CA)E-5204 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1234 E NORTH STSTE 106MANTECA, CA, 953364961Browse CA providers · Browse ZIP 95336
- Phone
- 2098232700
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in MANTECA, CA
| Name | Credential | NPI |
|---|---|---|
| NICOLE PHAM | — | 1083289649 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.