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Organization
FRANK M DE MAYO M D P C
Active
Organization
FRANK M DE MAYO M D P C
Active
Other names
TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MICHAEL DE MAYO MD (PRESIDENT/SURGEON)
(209) 835-4888
Entity
Organization
Contact information
Practice address
530 W EATON AVE STE E, TRACY, CA 95376-3455
(209) 835-4888
(209) 835-6424
Mailing address
793 S TRACY BLVD STE 332, TRACY, CA 95376-4753
(209) 835-8888
(209) 835-6424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A38277
CA
207X00000X
Orthopaedic Surgery Physician
G60003
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G60003
CA
225100000X
Physical Therapist
26664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001
UNITED HEALTHCARE
CA
01
—
032034
HILL PHYSICIANS
CA
01
—
26664
ANTHONY PHILLIPS - PT LIC
CA
01
—
5673742
AETNA
CA
01
—
90686
INTERPLAN
CA
05
—
GR0087960
—
CA
Enumeration date
04/07/2006
Last updated
02/01/2022
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