Individual
DR. EDGAR S. MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7115 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0361
(559) 431-2397
Mailing address
7115 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0361
(559) 431-2397
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A112259
CA
Other
Enumeration date
06/29/2008
Last updated
03/29/2019
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