Individual
DR. FREDRIC WARREN FEIST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2916 PALLISER CT, MODESTO, CA 95355-9743
(209) 556-8762
Mailing address
2916 PALLISER CT, MODESTO, CA 95355-9743
(209) 236-0355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G88387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11919784
CAQH
CA
01
—
E89478
UPIN
—
05
—
YYY34301Y
—
CA
Enumeration date
02/09/2006
Last updated
11/08/2023
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