| NPI | 1659542561 |
|---|---|
| Doing Business As | MODESTO PROCEDURE SUITE, INC. |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER F. AMSDEN CEO 209-525-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-04-08 |