Individual
DR. EVELYN R. EDELMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 CLAUS RD, MODESTO, CA 95355-9711
(209) 557-6310
(209) 557-6388
Mailing address
220 STANDIFORD AVE, F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A42138
CA
Other
Enumeration date
08/12/2006
Last updated
09/01/2016
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