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Organization
CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC
Active
Organization
CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC
Active
Other names
Central Valley Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK NEAL RHOADES MD (PRESIDENT)
(209) 571-1992
Entity
Organization
Contact information
Practice address
1300 MABLE AVENUE, SUITE 2, MODESTO, CA 95355-1120
(209) 571-1992
(209) 571-1994
Mailing address
1300 MABLE AVENUE, SUITE 2, MODESTO, CA 95355-1120
(209) 571-1992
(209) 571-1994
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
00A519490
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
00A519490
CA
208VP0000X
Pain Medicine Physician
00A519490
CA
Other
Enumeration date
12/20/2006
Last updated
11/26/2012
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