TRACY BIGELOW, DO, INC
Medical Practice at Coffee Rd, Modesto, CA

License number
California 20A11567
Category
Medical Practice
Type
Hand Surgery
Owner
Name: TRACY L BIGELOW DO
Title: OWNER
Phone: (209) 524-4649
Address
Address
1335 Coffee Rd STE 100, Modesto, CA 95355
National Provider ID: 1760789762
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRACY BIGELOW, D.O., INC

Modesto, CA

Industry:
Osteopathic Physician's Office
Registration:
Apr 26, 2011
Addresses:
1335 Coffee Rd STE 100, Modesto, CA 95355 (Physical)
PO Box 3212, Modesto, CA 95353
State ID:
C3372599
Business type:
Articles of Incorporation
President:
Tracy Bigelow (President)

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