Gervacio D Diaz III MD INC

NPI #1437221025 in Modesto, California

Provider Information

NPI Number: 1437221025
Entity Type: Organization
Organization Name: Gervacio D Diaz III MD INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 15, 2006
Last Updated: Mar 13, 2023

Practice Location

Address: 2013 COFFEE RD
City: Modesto
State: California
ZIP Code: 95355-2405
Phone: (209) 529-8506

Authorized Official

Name: GERVACIO D DIAZ III, MD
Title: PRESIDENT
Phone: (209) 529-8506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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