Organization
MERCED WOMENS CENTER FOR ADVANCED PELVIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE THOMAS MD (OWNER)
(415) 286-1616
Entity
Organization
Contact information
Practice address
900 W OLIVE AVE STE A, MERCED, CA 95348
(209) 579-5628
Mailing address
220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
(209) 579-5628
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/23/2018
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