Individual
DR. CHARLES IRA MCBRIDE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 OAKDALE RD, #2, MODESTO, CA 95355
(209) 579-8800
(209) 579-1407
Mailing address
1421 OAKDALE RD, #2, MODESTO, CA 95355
(209) 579-8800
(209) 579-1407
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G33080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4276218
—
CA
Enumeration date
07/26/2006
Last updated
06/02/2008
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