MR. Anderson Jay Ward JR., CCP
NPI #1518064849 in Modesto, California
Provider Information
- NPI Number
- 1518064849
- Entity Type
- Individual
- Name
- MR. Anderson Jay Ward JR., CCP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist Cardiovascular
- Credential
- CCP
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1441 FLORIDA AVE
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4405
- Phone
- (209) 576-3613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist Cardiovascular |
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