Greater Modesto Medical Surgical Associates, Inc. | |
3125 Conant Ave Modesto CA 95350-6527 | |
(209) 214-7053 | |
(209) 523-0764 |
Full Name | Greater Modesto Medical Surgical Associates, Inc. |
---|---|
Speciality | Family Medicine |
Location | 3125 Conant Ave, Modesto, California |
Authorized Official Name and Position | John R Porteous (PRESIDENT) |
Authorized Official Contact | 2095773388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greater Modesto Medical Surgical Associates, Inc. 1541 Florida Ave Suite 200 Modesto CA 95350-4423 Ph: (209) 577-3388 | Greater Modesto Medical Surgical Associates, Inc. 3125 Conant Ave Modesto CA 95350-6527 Ph: (209) 214-7053 |
NPI Number | 1033489307 |
---|---|
Provider Enumeration Date | 01/04/2012 |
Last Update Date | 01/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033489307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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