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Organization
ELAINE M. MADAYAG MD, A PROFESSIONAL CORPORATION
Active
Organization
ELAINE M. MADAYAG MD, A PROFESSIONAL CORPORATION
Active
Other names
Elaine Madayag-Capuno, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE M MADAYAGCAPUNO MD (OWNER/DIRECTOR)
(209) 847-2920
Entity
Organization
Contact information
Practice address
715 W F ST, OAKDALE, CA 95361-3736
(209) 847-2920
(209) 847-2892
Mailing address
PO BOX 1946, OAKDALE, CA 95361-1946
(209) 847-2920
(209) 847-2892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63167
CA
261QM2500X
Medical Specialty Clinic/Center
A63167
CA
Other
Enumeration date
10/30/2015
Last updated
07/21/2022
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