Organization
ACTIVE ORTHOPEDIC MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GUERRERO DO (PRESIDENT)
(209) 216-5900
Entity
Organization
Contact information
Practice address
1051 E TUOLUMNE RD, 103, TURLOCK, CA 95382-1546
(209) 216-5900
(209) 216-5909
Mailing address
PO BOX 2120, TURLOCK, CA 95381-2120
(209) 216-5900
(209) 216-5909
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
07/24/2012
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