FRANK EDWARD MODIC

SANTA ROSA, CA
NPI1871683326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G56491)
Additional Taxonomies2085U0001X Radiology, Diagnostic Ultrasound
(Licence: CA  G56491)
2085N0904X Radiology, Nuclear Radiology
(Licence: CA  G56491)
2085B0100X Radiology, Body Imaging
(Licence: CA  G56491)
Enumeration Date2006-10-13
Last Update Date2014-05-29
Business Address
-- FRANK EDWARD MODIC M.D.
121 SOTOYOME ST
SANTA ROSA, CA 95405-4823
Phone number: 707-546-4062
Mailing Address
-- FRANK EDWARD MODIC M.D.
PO BOX 5651
ORANGE, CA 92863-5651
Phone number: 714-571-5000