Individual
MR. NAOKI MIYAKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
1335 COFFEE RD STE 100, MODESTO, CA 95355-3192
(209) 524-4438
Mailing address
2712 ALLEGIANCE CT, RIVERBANK, CA 95367-9409
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15607
CA
Other
Enumeration date
08/31/2006
Last updated
01/21/2022
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