James L Stanton, Md Inc | |
200 B1 West Roseburg Avenue Modesto CA 95350 | |
(209) 491-2500 | |
(209) 491-2545 |
Full Name | James L Stanton, Md Inc |
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Speciality | Family Medicine |
Location | 200 B1 West Roseburg Avenue, Modesto, California |
Authorized Official Name and Position | Cris Robillos (ADMINISTRATOR) |
Authorized Official Contact | 2094912500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James L Stanton, Md Inc 200 B1 West Roseburg Avenue Modesto CA 95350 Ph: (209) 491-2500 | James L Stanton, Md Inc 200 B1 West Roseburg Avenue Modesto CA 95350 Ph: (209) 491-2500 |
NPI Number | 1467725473 |
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Provider Enumeration Date | 02/22/2012 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
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1467725473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G30530 (California) | Primary |
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