Individual
DR. CHRISTINE G TAZEWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1524 MCHENRY AVE, SUITE 310, MODESTO, CA 95350-4500
(209) 575-4700
(209) 577-6699
Mailing address
1524 MCHENRY AVE, SUITE 310, MODESTO, CA 95350-4500
(209) 575-4700
(209) 577-6699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G66546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G665460
—
CA
Enumeration date
10/03/2005
Last updated
07/08/2007
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