Elvis M Fedalizo, MD
Family Medicine in Ceres, CA. Individual provider (NPI-1).
NPI number1366491292
StatusActive
Last updated in NPPESJun 11, 2010
Details
- NPI
- 1366491292
- Entity type
- Individual (NPI-1)
- Name
- Elvis M Fedalizo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2006
- Last updated
- Jun 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A50432 | CA | Yes |
Practice location
2516 E Whitmore AveCeres, CA 95307-2645
Phone 209-538-1733
Mailing address
600 Coffee RdModesto, CA 95355-4201
Phone 209-524-1211
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All 10 Family Medicine Physician providers in Ceres · All 760 providers in Ceres
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