Organization
DOCTORS MEDICAL CENTER OF MODESTO, INC.
Active
Other names
DMC Professional Billing
Organization subpart
No
Provider details
NPI number
Authorized official
GREG BERRY (CFO)
(209) 576-3790
Entity
Organization
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350
(209) 578-1211
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 578-1211
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/02/2014
Last updated
03/23/2022
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