Individual
JOHN KIRK CAPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1401 SPANOS CT, SUITE 130, MODESTO, CA 95355-2810
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A11031
CA
Other
Enumeration date
06/26/2008
Last updated
08/03/2015
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