Edward L Auen Phd M D INC
Specialist in Modesto, CA. Organization (NPI-2).
NPI number1760670988
StatusActive
Last updated in NPPESNov 21, 2012
Details
- NPI
- 1760670988
- Entity type
- Organization (NPI-2)
- Legal business name
- Edward L Auen Phd M D INC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2007
- Last updated
- Nov 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | A50019 | CA | Yes |
Other names
- Pro Health Medical Group (Doing Business As)
Practice location
1401 Spanos CtSuite 122
Modesto, CA 95355-2810
Phone 209-529-2052 · Fax 209-529-0323
Mailing address
1401 Spanos CtSuite 122
Modesto, CA 95355-2810
Phone 209-529-2052 · Fax 209-529-0323
Authorized official
Edward Leonard Auen
Physician
2095292052
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