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Frank Edward Modic, MD
Diagnostic Radiology Physician in Santa Rosa, California
NPI 1871683326

Frank Edward Modic is a Diagnostic Radiology Physician based in Orange, CA and is specialized in Diagnostic Radiology. Frank Edward Modic practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Frank Edward Modic is 1871683326 and holds a License No. G56491 (California).

The current practice location address for Frank Edward Modic is 121 Sotoyome St, Santa Rosa, CA and can be reached out via phone at 707-546-4062 and via fax at 707-525-4097.

Location: 121 Sotoyome St, Santa Rosa, CA, 92863-5651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871683326
Provider Name
Frank Edward Modic
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
121 Sotoyome St, Santa Rosa, CA, 92863-5651
Phone Number
707-546-4062
Fax Number
707-525-4097
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G564910 05 CA
institution
Provider Business Practice Location Address Details
Address
121 Sotoyome St
City
Santa Rosa
State
California
Zip
95405-4823
Phone Number
707-546-4062
Fax Number
707-525-4097
person
Provider Business Mailing Address Details
Address
121 Sotoyome St
City
Santa Rosa
State
California
Zip
95405-4823
Phone Number
707-546-4062
Fax Number
707-525-4097
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G56491 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
G56491 (California)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G56491 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
G56491 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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