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Organization

RENDOLL CONCEPCION M.D, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENDOLL CONCEPCION (OWNER)
(559) 298-9032
Entity
Organization

Contact information

Practice address
1885 E ALLUVIAL AVE STE 101, FRESNO, CA 93720-3857
(559) 298-9032
Mailing address
1885 E ALLUVIAL AVE STE 101, FRESNO, CA 93720-3857
(559) 298-9032

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086X0206X
Surgical Oncology Physician

Other

Enumeration date
09/21/2006
Last updated
07/12/2007
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