Organization
JOE NGOC BUI DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE NGOC BUI DO (ADMINISTRATOR)
(209) 628-5424
Entity
Organization
Contact information
Practice address
1205 E, NORTH STREET, MANTECA, CA 95336-4932
(209) 823-3111
Mailing address
817 COFFEE ROAD, C3, MODESTO, CA 95355-4241
(209) 529-9603
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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