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Organization

TURLOCK EMERGENCY PHYSICIANS MEDICAL GROUP INC

Active
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Organization

TURLOCK EMERGENCY PHYSICIANS MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GORDON ELWOOD ALLDRIN MD (MEDICAL DIRECTOR)
(209) 342-2300
Entity
Organization

Contact information

Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1546
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0045500
—
CA
01
—
ZZZ24670Z
BLUE SHIELD
CA
Enumeration date
11/04/2005
Last updated
08/22/2020
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