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Organization

BRIAN J CORMIER PHYSICIAN ASSISTANT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN J CORMIER PA (OWNER/PRESIDENT)
(209) 605-4966
Entity
Organization

Contact information

Practice address
1878 E HATCH RD, MODESTO, CA 95351-5002
(209) 845-2553
(209) 844-0334
Mailing address
PO BOX 576649, MODESTO, CA 95357-6649
(209) 845-2553
(209) 845-2553

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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