John R Cercado, PA
NPI #1497940407 in Modesto, California
Provider Information
- NPI Number
- 1497940407
- Entity Type
- Individual
- Name
- John R Cercado, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Nov 8, 2019
Practice Location
- Address
- 1700 COFFEE RD
- City
- Modesto
- State
- California
- ZIP Code
- 95355-2803
- Phone
- (209) 526-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Physician Assistant |
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