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Stanislaus Cardiology Group
Specialist in Modesto, California
NPI 1902828841

Stanislaus Cardiology Group is a Specialist based in Modesto, CA. Stanislaus Cardiology Group practices in Modesto, CA. The NPI Number for Stanislaus Cardiology Group is 1902828841 and holds a License No. FNP 30072 (California).

The current practice location address for Stanislaus Cardiology Group is 3621 Forest Glenn Dr, Modesto, CA and can be reached out via phone at 209-521-9661 and via fax at 209-521-9307.

Location: 3621 Forest Glenn Dr, Modesto, CA, 95355-1339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902828841
Provider Name
Stanislaus Cardiology Group
Credential
Provider Entity Type
Organization
Address
3621 Forest Glenn Dr, Modesto, CA, 95355-1339
Phone Number
209-521-9661
Fax Number
209-521-9307
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902828841 05 CA
institution
Provider Business Practice Location Address Details
Address
3621 Forest Glenn Dr
City
Modesto
State
California
Zip
95355-1339
Phone Number
209-521-9661
Fax Number
209-521-9307
person
Provider Business Mailing Address Details
Address
3621 Forest Glenn Dr
City
Modesto
State
California
Zip
95355-1339
Phone Number
209-521-9661
Fax Number
209-521-9307
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
FNP 30072 (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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