Organization
GALEN INPATIENT PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE G. KOURY MD (PRESIDENT/CFO)
(510) 350-2774
Entity
Organization
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(707) 994-6486
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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