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General NPI Number Information
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NPI Number | 1841305737
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Entity Type | Organization
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Legal Business Name | MODESTO ORTHOPEDIC GROUP
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 OAKDALE RD SUITE 301
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City | MODESTO
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State | CA
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Zip | 95355-3381
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Country | US
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Telephone | 209-571-5071
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Fax | 209-577-1157
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Provider Business Mailing Address
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Address Line | PO BOX 576158
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City | MODESTO
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State | CA
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Zip | 95357-6158
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Country | US
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Telephone | 209-571-5071
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Fax | 209-577-1157
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT M CASH
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Credential | M.D.
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Telephone | 209-571-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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