Stanislaus Anesthesia Medical Group

NPI #1043303878 in Modesto, California

Provider Information

NPI Number: 1043303878
Entity Type: Organization
Organization Name: Stanislaus Anesthesia Medical Group
Primary Specialty: Anesthesiology
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1421 OAKDALE ROAD
City: Modesto
State: California
ZIP Code: 95355
Phone: (209) 572-2700

Authorized Official

Name: SUSAN KNOWLES, MD
Title: PRESIDENT
Phone: (209) 529-9603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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