Sutter Gould Medical Foundation

NPI #1255378873 in Modesto, California

Provider Information

NPI Number: 1255378873
Entity Type: Organization
Organization Name: Sutter Gould Medical Foundation
Primary Specialty: Internal Medicine
Enumeration Date: Jun 1, 2006
Last Updated: Oct 3, 2012

Practice Location

Address: 1409 E BRIGGSMORE AVE
City: Modesto
State: California
ZIP Code: 95355-2707
Phone: (209) 524-1211

Authorized Official

Name: STEVEN A MITNICK, MD
Title: MEDICAL DIRECTOR
Phone: (209) 521-6097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Surgery	208600000X
Orthopaedic Surgery	207X00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine	207R00000X	Primary

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