Organization · Type 2 NPI
Modern Neurocare Medical Center
Neurology Physician · Stockton, CA
NPI number
1366461782
Active
Practice location
1801 E March Ln, Suite B-220
Stockton, CA 95210-6629
Fax (209) 951-8831
Mailing address
PO Box 7393
Stockton, CA 95267-0393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | A86600 (CA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1366461782
Modern Neurocare Medical Center's National Provider Identifier is 1366461782, issued on Jul 18, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Stockton, CA. The record was last updated on Dec 7, 2018.