Individual
CURTIS RICHARD DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 FLORIDA AVE, SUITE 200, MODESTO, CA 95350-4429
(209) 577-3388
(209) 523-0764
Mailing address
1541 FLORIDA AVE, SUITE 200, MODESTO, CA 95350-4429
(209) 577-3388
(209) 523-0764
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G30564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD069A
MEDICARE GROUP PTAN
CA
01
—
CD145Z
MEDICARE INDIVIDUAL PTAN
CA
01
—
ZZZ48224Z
MEDICARE NUMBER
CA
Enumeration date
07/09/2006
Last updated
03/29/2011
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