Individual
RICHARD PLOTZKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE, STE 200, MODESTO, CA 95350-4429
(209) 577-3388
(209) 523-0764
Mailing address
1541 FLORIDA AVE, STE 200, MODESTO, CA 95350-4429
(209) 577-3388
(209) 523-0764
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G42237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100004839
RAILROAD MEDICARE
CA
01
—
CD069A
GROUP PTAN - MEDICARE
CA
01
—
CD243Z
INDIVIDUAL PTAN MEDICARE
CA
Enumeration date
10/04/2005
Last updated
03/29/2011
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