NPI | 1205193158 |
---|---|
Doing Business As | GREATER MODESTO MEDICAL SURGICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JEFF KOURY CEO 714-428-6842 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2012-04-17 |
Last Update Date | 2016-06-06 |