Organization
HOSPITALISTS OF MODESTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY GRAY (MANAGER)
(209) 214-7256
Entity
Organization
Contact information
Practice address
1441 FLORIDA AVE, HOSPITALISTS OF MODESTO MEDICAL GROUP, MODESTO, CA 95350-4404
(209) 576-3525
Mailing address
1441 FLORIDA AVE, HOSPITALISTS OF MODESTO MEDICAL GROUP, MODESTO, CA 95350-4404
(209) 576-3525
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A123484
CA
Other
Enumeration date
07/08/2013
Last updated
09/12/2013
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