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Individual

GEORGE CLIFFORD RYGG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 ROWLAND WAY, NOVATO, CA 94945-5009
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G21249
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G212490
BLUE SHIELD
CA
05
00G212490
CA
Enumeration date
11/22/2005
Last updated
07/08/2007
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