Individual
ESRA OLGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090615
MI
207R00000X
Internal Medicine Physician
A127283
CA
208M00000X
Hospitalist Physician
Primary
A127283
CA
Other
Enumeration date
10/15/2007
Last updated
07/21/2014
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