SearchCalifornia207R00000X

Andrew Modic, MD

NPI 1063831972 · on the registry since 2014

Practice

Address
1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone
(760) 499-3855
Fax
(760) 499-3870
Organisation at this address
Millet Inc
Drummond Medical Group
Indian Wells Podiatry Group
Drummond Medical Group, Inc
Ridgecrest Regional Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
390200000X
Licence states on file
AL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California