Marvin D Covrig MD A Professional Medical Corporation
Anesthesiology in Modesto, CA. Organization (NPI-2).
NPI number1932274073
StatusActive
Last updated in NPPESApr 18, 2012
Details
- NPI
- 1932274073
- Entity type
- Organization (NPI-2)
- Legal business name
- Marvin D Covrig MD A Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Nov 22, 2006
- Last updated
- Apr 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | G66650 | CA | Yes |
Practice location
817 Coffee RoadModesto, CA 95355
Phone 209-526-4500
Mailing address
817 Coffee RoadC3
Modesto, CA 95355
Phone 209-529-9603 · Fax 209-529-6610
Authorized official
Marvin Daniel Covrig
President
2095299603
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