FADI ELIAS MALAK

ROSEBURG, OR
NPI1730275355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  00229)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
Dr. FADI ELIAS MALAK DPM
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470-6523
Phone number: 541-440-1000
Mailing Address
Dr. FADI ELIAS MALAK DPM
PO BOX 126
WINCHESTER, OR 97495-0126
Phone number: 541-440-1000