Healthcare Provider Details

I. General information

NPI: 1952755175
Provider Name (Legal Business Name): ROBERT E CATON MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 MCHENRY AVE SUITE 515
MODESTO CA
95350-4500
US

IV. Provider business mailing address

1524 MCHENRY AVE SUITE 515
MODESTO CA
95350-4500
US

V. Phone/Fax

Practice location:
  • Phone: 209-491-5370
  • Fax: 209-491-5379
Mailing address:
  • Phone: 209-491-5370
  • Fax: 209-491-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG48633
License Number StateCA

VIII. Authorized Official

Name: NORAQ MCALISTER
Title or Position: OFFICE MANAGER
Credential:
Phone: 209-491-5370