NPI | 1093390031 |
---|---|
Doing Business As | DOT MODESTO FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JON LEIZMAN President 615-468-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-03-11 |
Last Update Date | 2023-09-20 |