Dwight Cordero
Clinical Genetics (M.D.)
1524 Mchenry Ave Ste 520
Modesto
, California 95350-4572
Dwight Cordero
Clinical Genetics (M.D.)
1524 Mchenry Ave Ste 520
Modesto
, California 95350-4572
(209) 527-7630
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dwight Cordero
- 1524 Mchenry Ave Ste 520
- Modesto, CA
- Zip : 95350-4572
- Fax : (209) 527-7630
- Phone : (209) 527-5555
Second Address
- Dwight Cordero
- 1524 Mchenry Ave Ste 520
- Modesto, CA
- Zip : 95350-4572
- Fax : (209) 527-7630
- Phone : (209) 527-5555
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Is Dwight Cordero accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 77370 | CA |
National Provider Identifier
| NPI | 1831169721 |
|---|---|
| Provider Name | Dwight Cordero |
| First Address | Modesto, CA 95350-4572 |
| Second Address | Modesto, CA 95350-4572 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 19/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.