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Paul J Braaton, M.d., Inc.
Specialist in Modesto, California
NPI 1861680795

Paul J Braaton, M.d., Inc. is a Specialist based in Modesto, CA. Paul J Braaton, M.d., Inc. practices in Modesto, CA. The NPI Number for Paul J Braaton, M.d., Inc. is 1861680795 and holds a License No. G84066 (California).

The current practice location address for Paul J Braaton, M.d., Inc. is 1335 Coffee Rd Ste 100, Modesto, CA and can be reached out via phone at 209-524-5977 and via fax at 209-524-7395.

Location: 1335 Coffee Rd Ste 100, Modesto, CA, 95355-3188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861680795
Provider Name
Paul J Braaton, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
1335 Coffee Rd Ste 100, Modesto, CA, 95355-3188
Phone Number
209-524-5977
Fax Number
209-524-7395
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G840660 05 CA
institution
Provider Business Practice Location Address Details
Address
1335 Coffee Rd Ste 100
City
Modesto
State
California
Zip
95355-3192
Phone Number
209-524-5977
Fax Number
209-524-7395
person
Provider Business Mailing Address Details
Address
1335 Coffee Rd Ste 100
City
Modesto
State
California
Zip
95355-3192
Phone Number
209-524-5977
Fax Number
209-524-7395
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G84066 (California)
Definition
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.
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