Organization
MERCED WOMENS CENTER FOR ADVANCED PELVIC SURGERY
Active
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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