Individual
ROGER E ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
(209) 521-4081
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C132709
CA
207RP1001X
Pulmonary Disease Physician
C132709
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
C132709
CA
Other
Enumeration date
04/02/2006
Last updated
10/29/2014
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