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Sargon Bebla MD INC

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Modesto, CA. Organization (NPI-2).

NPI number1144698481
StatusActive
Last updated in NPPESMar 7, 2018

Details

NPI
1144698481
Entity type
Organization (NPI-2)
Legal business name
Sargon Bebla MD INC
Organization subpart
No
Enumeration date
Sep 3, 2015
Last updated
Mar 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic SurgeryA79656CAYes

Practice location

1524 McHenry Ave
Suite 370
Modesto, CA 95350-4500

Phone 315-299-8150 · Fax 315-299-8155

Mailing address

1524 McHenry Ave Ste 370
Modesto, CA 95350-4568

Phone 315-387-2176 · Fax 315-387-2349

Authorized official

Pamela A Parbus
Manager
3153872176

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