Organization
STANISLAUS ORTHOPAEDICS SPORTS MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG FIELDS (OFFICE MANAGER)
(209) 572-3224
Entity
Organization
Contact information
Practice address
609 E ORANGEBURG AVE, #201, MODESTO, CA 95350-5512
(209) 572-3224
(209) 572-4528
Mailing address
609 E ORANGEBURG AVE, #201, MODESTO, CA 95350-5512
(209) 572-3224
(209) 572-4528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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