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Individual

ALEC FEDOROV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 9TH ST, FLORENCE, OR 97439-7388
(541) 997-7104
(541) 997-5975
Mailing address
530 9TH ST, FLORENCE, OR 97439-7388
(541) 997-7104
(541) 997-5975

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD22265
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288355
OR
01
MD22265
STATE LICENSE
OR
Enumeration date
05/08/2006
Last updated
06/27/2025
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