Organization
JOHN TALIEH MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAHYA JOHN TALIEH MD (SURGEON)
(209) 522-0600
Entity
Organization
Contact information
Practice address
1401 SPANOS CT STE 203, MODESTO, CA 95355-2813
(209) 522-0600
(209) 491-0116
Mailing address
PO BOX 577134, MODESTO, CA 95357-7134
(209) 522-0600
(209) 491-0116
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A73331
CA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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