| Dale Road Care Center | |
|
3612 Dale Rd Modesto CA 95356-0500 | |
| (209) 524-1211 | |
| Not Available |
| Full Name | Dale Road Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3612 Dale Rd, Modesto, California |
| Authorized Official Name and Position | Steven A Mitnick (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2095216097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Road Care Center 600 Coffee Rd Modesto CA 95355-4201 Ph: (209) 524-1211 | Dale Road Care Center 3612 Dale Rd Modesto CA 95356-0500 Ph: (209) 524-1211 |
| NPI Number | 1326093360 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326093360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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