Organization
MODESTO ORTHOPEDIC MEDICAL GROUP
Active
Other names
MODESTO ORTHOPEDIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MILAM (OFFICE MANAGER)
(209) 571-5071
Entity
Organization
Contact information
Practice address
1501 OAKDALE RD STE 301, MODESTO, CA 95355-3382
(209) 571-5071
(209) 577-1157
Mailing address
PO BOX 576158, MODESTO, CA 95357-6158
(209) 571-5071
(209) 577-1157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
03/17/2018
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