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Individual

DR. RUBEN CORRAL FRAGOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
4501 X ST, SUITE 0156, SACRAMENTO, CA 95817-2229
(916) 734-8276
(916) 703-5069
Mailing address
854 8TH AVE, SACRAMENTO, CA 95818-4039
(617) 869-4409
(916) 703-5069

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A109259
CA
2085R0001X
Radiation Oncology Physician
MT187129
PA

Other

Enumeration date
07/02/2007
Last updated
01/17/2024
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