Organization
EDWARD L AUEN PHD M D INC
Active
Other names
PRO HEALTH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LEONARD AUEN PH.D., M.D. (PHYSICIAN)
(209) 529-2052
Entity
Organization
Contact information
Practice address
1401 SPANOS CT, SUITE 122, MODESTO, CA 95355-2810
(209) 529-2052
(209) 529-0323
Mailing address
1401 SPANOS CT, SUITE 122, MODESTO, CA 95355-2810
(209) 529-2052
(209) 529-0323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50019
CA
Other
Enumeration date
10/12/2007
Last updated
11/21/2012
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