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Organization
DOCTORS MEDICAL CENTER OF MODESTO, INC
Active
Organization
DOCTORS MEDICAL CENTER OF MODESTO, INC
Active
Other names
Doctors Medical Center of Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD KAUFMAN (REGIONAL CMO; TENET)
(714) 428-6812
Entity
Organization
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 578-1211
Mailing address
3125 CONANT AVE, MODESTO, CA 95350-6527
(209) 573-6103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/16/2008
Last updated
05/26/2016
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