PROVIDENCE FAMILY PRACTICE MEDICAL GROUP

MODESTO, CA
NPI1104979582
Entity TypeOrganization
Authorized ContactKATHIE LEE CRONIN
Managing Partner
209-491-2500
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-01-19
Last Update Date2020-08-22
Business Address
PROVIDENCE FAMILY PRACTICE MEDICAL GROUP
1213 COFFEE RD SUITE B
MODESTO, CA 95355-4229
Phone number: 209-491-2500
Mailing Address
PROVIDENCE FAMILY PRACTICE MEDICAL GROUP
1213 COFFEE RD SUITE B
MODESTO, CA 95355-4229
Phone number: 209-491-2500
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