Organization · Type 2 NPI

Providence Family Practice Medical Group

Family Medicine Physician · Modesto, CA

NPI number 1104979582 Active

Practice location

1213 Coffee Rd, Suite B
Modesto, CA 95355-4229

Call (209) 491-2500 Map

Fax (209) 491-2545

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104979582

Providence Family Practice Medical Group's National Provider Identifier is 1104979582, issued on Jan 19, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 22, 2020.