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Individual

JOHN BENJAMIN DEGRAFT-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
1541 FLORIDA AVE STE 305, MODESTO, CA 95350-4439
(209) 575-5836
(209) 577-1040
Mailing address
1541 FLORIDA AVE STE 103, MODESTO, CA 95350-4438
(209) 575-5836
(209) 577-1040

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A104894
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PENDING
CA

Other

Enumeration date
07/02/2008
Last updated
06/18/2025
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