Organization
EDWARD W. VERDE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WAYNE VERDE MD (PRESIDENT)
(909) 708-6912
Entity
Organization
Contact information
Practice address
1441 FLORIDA AVENUE, MODESTO, CA 95350-4418
(209) 529-9603
(209) 529-6610
Mailing address
817 COFFEE ROAD, C3, MODESTO, CA 95355-4241
(209) 529-9603
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A68621
CA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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