person
Ms. Dianne Marie David, PA
Medical Physician Assistant in Modesto, California
NPI 1356500037

Dianne Marie David is a Medical Physician Assistant based in Modesto, CA and is specialized in Medical. Dianne Marie David practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Dianne Marie David is 1356500037 and holds a License No. PA15572 (California).

The current practice location address for Dianne Marie David is 1552 Coffee Rd Ste 200, Modesto, CA and can be reached out via phone at 209-248-7168 and via fax at 209-846-9641. You can also correspond with Dianne Marie David through the mailing address at 1552 COFFEE RD STE 200, MODESTO, CA - 95355-3122 (mailing address contact number: 209-248-7168).

Location: 1552 Coffee Rd Ste 200, Modesto, CA, 95355-3122
person
Provider Profile Details
NPI Number
1356500037
Provider Name
Dianne Marie David
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1552 Coffee Rd Ste 200, Modesto, CA, 95355-3122
Phone Number
209-248-7168
Fax Number
209-846-9641
Provider Enumeration Date
06/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA15572 01 CA PAC
institution
Provider Business Practice Location Address Details
Address
1552 Coffee Rd Ste 200
City
State
Zip
95355-3122
Phone Number
209-248-7168
Fax Number
209-846-9641
person
Provider Business Mailing Address Details
Address
1552 Coffee Rd Ste 200
City
State
Zip
95355-3122
Phone Number
209-248-7168
Fax Number
209-846-9641
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA15572 (California)
Definition
Definition to come...
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