| NPI | 1255529756 |
|---|---|
| Doing Business As | MODESTO PROCEDURE SUITE, INC. |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER F. AMSDEN CEO/Physician 209-525-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-01-06 |