Stanislaus Orthopaedic And Sports Medicine Clinic in Modesto - Specialist
Stanislaus Orthopaedic And Sports Medicine Clinic - NPI 1669505160
Stanislaus Orthopaedic And Sports Medicine Clinic is a Specialist in Modesto, California. Stanislaus Orthopaedic And Sports Medicine Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stanislaus Orthopaedic And Sports Medicine Clinic is 1669505160. The last update date is 2011-08-24.
Stanislaus Orthopaedic And Sports Medicine Clinic's current location address is 609 E Orangeburg Ave, Modesto, California. You can contact this provider via phone number 2095723224 and fax number 2095724528. The mailing address for Stanislaus Orthopaedic And Sports Medicine Clinic is 609 E Orangeburg Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Stanislaus Orthopaedic And Sports Medicine Clinic |
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Address | 609 E Orangeburg Ave, Modesto, California |
Phone Number | 2095723224 |
Fax Number | 2095724528 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SENIOR PAR |
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Authorized Official Name | Casey John |
Credentials | M.D. |
Telephone Number | 2095723224 |
NPI Number Detail
NPI Number | 1669505160 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2011-08-24 |
Provider Mailing Address Detail
Address | 609 E Orangeburg Ave |
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City | Modesto |
State | California (CA) |
Post Code | 953505580 |
Phone Number | 2095723224 |
Fax Number | 2095724528 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Stanislaus Orthopaedic And Sports Medicine Clinic's unique identification number?
The Stanislaus Orthopaedic And Sports Medicine Clinic has been assigned the NPI (National Provider Identifier) Number 1669505160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Stanislaus Orthopaedic And Sports Medicine Clinic's facilities are geographically located?
The facilities of Stanislaus Orthopaedic And Sports Medicine Clinic are physically situated at the following location: 609 E Orangeburg Ave, Modesto, CA, 953505580.
What is Stanislaus Orthopaedic And Sports Medicine Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stanislaus Orthopaedic And Sports Medicine Clinic's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Stanislaus Orthopaedic And Sports Medicine Clinic's 1669505160 issued?
The Stanislaus Orthopaedic And Sports Medicine Clinic's 1669505160 was issued on 2007-03-13.
As of what date were the Stanislaus Orthopaedic And Sports Medicine Clinic's details last updated?
The information pertaining to the Stanislaus Orthopaedic And Sports Medicine Clinic, including its address, specialty, and other details, was most recently updated on 2011-08-24.
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