Organization
ABOG, INC
Active
Other names
OVALLE, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO OVALLE MD (MEDICAL PROVIDER)
(707) 392-1193
Entity
Organization
Contact information
Practice address
1252 TRAVIS BLVD STE D, FAIRFIELD, CA 94533-4840
(700) 392-1193
(872) 282-0576
Mailing address
1252 TRAVIS BLVD STE D, FAIRFIELD, CA 94533-4840
(700) 392-1193
(872) 282-0576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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