Valley Interventional Pain Medical Grp

NPI 1881830040 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1881830040
Enumeration Date 12/18/2008
Last Updated 03/19/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAMES E JAMES
Position OWNER
Phone (209) 571-1693
Fax (209) 571-0326
Practice Location
1524 MCHENRY AVE
#445
MODESTO CA, 95350, US
Phone (209) 571-1693
Fax (209) 571-0326
Business Location
1524 MCHENRY AVE.
#445
MODESTO CA, 95350, US
Phone (209) 571-1693
Fax (209) 571-0326
Toxanomy
Taxonomy Code 291U00000X
License State California
License Number 05D1086032
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According to our database, Valley Interventional Pain Medical Grp NPI is 1881830040, taxonomy code is 291U00000X and license number is 05D1086032, license state is located at California. Valley Interventional Pain Medical Grp physically located at 1524 Mchenry Ave, Modesto CA, 95350. NPI Number 1033115704 has the healthcare provider type.

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1881830040 NPI number is provided on an as is basis without warranty of any kind. 1881830040 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Interventional Pain Medical Grp are for informational purposes only.