Mchenry Medical Group INC

NPI #1205859154 in Modesto, California

Provider Information

NPI Number: 1205859154
Entity Type: Organization
Organization Name: Mchenry Medical Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 25, 2006
Last Updated: Jan 18, 2008

Practice Location

Address: 1541 FLORIDA AVENUE
Address 2: SUITE 200
City: Modesto
State: California
ZIP Code: 95350
Phone: (209) 577-3388

Authorized Official

Name: DR. HARRIS MICHAEL GOODMAN, MD
Title: CHAIR EXECUTIVE COMMITTEE
Phone: (209) 577-3388

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