Manteca Medical Group, INC
NPI #1437113065 in Manteca, California
Provider Information
- NPI Number
- 1437113065
- Entity Type
- Organization
- Organization Name
- Manteca Medical Group, INC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Apr 9, 2010
Practice Location
- Address
- 1262 E NORTH ST
- City
- Manteca
- State
- California
- ZIP Code
- 95336-4962
- Phone
- (209) 823-7646
Authorized Official
- Name
- DR. TERRY CROASDALE, M.D.
- Title
- CFO/COO
- Phone
- (209) 823-7646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Internal Medicine |
| Pediatrics |
| Family Medicine |
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