Gervacio D. Diaz, Iii, Inc

NPI 1437221025 - Internal Medicine - 207R00000X

NPI Details
NPI 1437221025
Enumeration Date 11/15/2006
Last Updated 09/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GERVACIO DANIEL GERVACIO
Position PRESIDENT
Phone (209) 529-8506
Fax (209) 529-8524
Practice Location
2013 COFFEE RD
MODESTO CA, 95355-2405, US
Phone (209) 529-8506
Fax (209) 529-8524
Business Location
2013 COFFEE RD
MODESTO CA, 95355-2405, US
Phone (209) 529-8506
Fax (209) 529-8524
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A69801
Remove 1437221025 NPI Number
 

According to our database, Gervacio D. Diaz, Iii, Inc NPI is 1437221025, taxonomy code is 207R00000X and license number is A69801, license state is located at California. Gervacio D. Diaz, Iii, Inc physically located at 2013 Coffee Rd, Modesto CA, 95355-2405. NPI Number 1033115704 has the healthcare provider type.

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1437221025 NPI number is provided on an as is basis without warranty of any kind. 1437221025 is maintained by the National Plan & Provider Enumeration System. The contents of Gervacio D. Diaz, Iii, Inc are for informational purposes only.