person
Dr. Jerry Lynn Chastain JR., MD
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1073752671

Jerry Lynn Chastain JR. is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Jerry Lynn Chastain JR. practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Jerry Lynn Chastain JR. is 1073752671 and holds a License No. (California).

The current practice location address for Jerry Lynn Chastain JR. is 401 Paradise Road, Modesto, CA and can be reached out via phone at 209-558-4000.

Location: 401 Paradise Road, Modesto, CA, 95351
person
Provider Profile Details
NPI Number
1073752671
Provider Name
Jerry Lynn Chastain JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
401 Paradise Road, Modesto, CA, 95351
Phone Number
209-558-4000
Fax Number
Provider Enumeration Date
02/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Paradise Road
City
State
Zip
95351
Phone Number
209-558-4000
Fax Number
person
Provider Business Mailing Address Details
Address
401 Paradise Road
City
State
Zip
95351
Phone Number
209-558-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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