PROVIDENCE FAMILY PRACTICE MEDICAL GROUP

Family Medicine Physician

NPI: 1104979582Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address: 1213 COFFEE RD, SUITE B
MODESTO, CA 95355
Phone: (209) 491-2500

Quick Facts

NPI: 1104979582
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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