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Virgilio C. Ereso M.d. Inc.
Primary Care Clinic/Center in Modesto, California
NPI 1063698041

Virgilio C. Ereso M.d. Inc. is a Primary Care Clinic/Center based in Modesto, CA and is specialized in Primary Care. Virgilio C. Ereso M.d. Inc. practices in Modesto, CA. The NPI Number for Virgilio C. Ereso M.d. Inc. is 1063698041 and holds a License No. A30308 (California).

The current practice location address for Virgilio C. Ereso M.d. Inc. is 500 Coffee Rd, Modesto, CA and can be reached out via phone at 209-579-7461 and via fax at 209-579-7465.

Location: 500 Coffee Rd, Modesto, CA, 95355-4926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063698041
Provider Name
Virgilio C. Ereso M.d. Inc.
Credential
Provider Entity Type
Organization
Address
500 Coffee Rd, Modesto, CA, 95355-4926
Phone Number
209-579-7461
Fax Number
209-579-7465
Provider Enumeration Date
01/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A303080 05 CA
institution
Provider Business Practice Location Address Details
Address
500 Coffee Rd
City
Modesto
State
California
Zip
95355-4926
Phone Number
209-579-7461
Fax Number
209-579-7465
person
Provider Business Mailing Address Details
Address
500 Coffee Rd
City
Modesto
State
California
Zip
95355-4926
Phone Number
209-579-7461
Fax Number
209-579-7465
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A30308 (California)
Definition
Definition to come...
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