GERVACIO D DIAZ III MD INC

MODESTO, CA
NPI1437221025
Entity TypeOrganization
Authorized ContactGERVACIO D DIAZ
President
209-529-8506
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A69801)
Enumeration Date2006-11-15
Last Update Date2023-03-13
Business Address
GERVACIO D DIAZ III MD INC
2013 COFFEE RD
MODESTO, CA 95355-2405
Phone number: 209-529-8506
Mailing Address
GERVACIO D DIAZ III MD INC
2013 COFFEE RD
MODESTO, CA 95355-2405
Phone number: 209-529-8506
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