Med-1 Medical Center Professional Corporation
NPI #1275691339 in Modesto, California
Provider Information
- NPI Number
- 1275691339
- Entity Type
- Organization
- Organization Name
- Med-1 Medical Center Professional Corporation
- Primary Specialty
- Clinic/Center - Corporate Health
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3508 DALE RD
- City
- Modesto
- State
- California
- ZIP Code
- 95356-0552
- Phone
- (209) 574-1355
Authorized Official
- Name
- DR. ALAN RUSSAKOV, M.D
- Title
- PRESIDENT
- Phone
- (290) 574-1355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Corporate Health — Corporate Health |
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