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Individual

JOSEPH K FLUENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G42660
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G42660
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G426601
CA
Enumeration date
07/21/2006
Last updated
10/01/2013
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