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Organization
ROGER L. FIFE, M.D., INC
Active
Organization
ROGER L. FIFE, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L. FIFE M.D. (PRESIDENT)
(209) 723-9879
Entity
Organization
Contact information
Practice address
780 WEST OLIVE AVENUE, SUITE 104, MERCED, CA 95348-2437
(209) 723-9879
(209) 384-9027
Mailing address
780 WEST OLIVE AVENUE, SUITE 104, MERCED, CA 95348-2437
(209) 723-9879
(209) 384-9027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A341050
—
CA
Enumeration date
05/20/2006
Last updated
08/22/2020
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