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1255400313
CHRIS MICHAEL FADEFF
BAKERSFIELD, CA
NPI
1255400313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A065257)
Enumeration Date
2006-11-06
Last Update Date
2023-04-07
Business Address
CHRIS MICHAEL FADEFF M.D.
9500 STOCKDALE HWY STE 103
BAKERSFIELD, CA 93311-3621
Phone number: 661-324-6593
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Mailing Address
CHRIS MICHAEL FADEFF M.D.
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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