| NPI | 1215294160 |
|---|---|
| Doing Business As | GREATER MODESTO MEDICAL SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JEFF KOURY CEO 714-428-6482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2016-06-06 |