STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC NPI 1669505160

NPI Information

STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC is a specialist in Modesto, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC NPI is 1669505160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

609 E ORANGEBURG AVE
MODESTO, CA
ZIP 95350-580
Phone: (209) 572-3224
Fax: (209) 572-4528

The provider's authorized official is John Casey .
The authorized official title is Senior Partner and has the following contact phone number (209) 572-3224.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.