Individual
KRISTOPHER DE GA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(916) 708-8038
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A159059
CA
Other
Enumeration date
06/02/2015
Last updated
07/20/2023
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