ELVIS M FEDALIZO

CERES, CA
NPI1366491292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A50432)
Enumeration Date2006-05-08
Last Update Date2010-06-11
Business Address
-- ELVIS M FEDALIZO MD
2516 E WHITMORE AVE
CERES, CA 95307-2645
Phone number: 209-538-1733
Mailing Address
-- ELVIS M FEDALIZO MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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