Individual
THOMAS G SALOPEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C51317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C513170
—
CA
Enumeration date
04/26/2006
Last updated
07/09/2007
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