Greater Modesto Medical Surgical Associates, Inc.
NPI #1134499411 in Manteca, California
Provider Information
- NPI Number
- 1134499411
- Entity Type
- Organization
- Organization Name
- Greater Modesto Medical Surgical Associates, Inc.
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jan 4, 2012
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 1262 E NORTH ST
- Address 2
- SUITE B
- City
- Manteca
- State
- California
- ZIP Code
- 95336-4962
- Phone
- (209) 214-7053
Authorized Official
- Name
- MR. JOHN R PORTEOUS, M.D.
- Title
- PRESIDENT
- Phone
- (209) 577-3388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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