Individual
DR. FREDERICK A. ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7131 N 11TH ST STE 101, FRESNO, CA 93720-3375
(559) 435-0717
(559) 435-9105
Mailing address
7131 N 11TH ST STE 101, FRESNO, CA 93720-3375
(559) 435-0717
(559) 435-9105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00C372670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942588262
TAX ID#
CA
Enumeration date
01/02/2007
Last updated
12/05/2012
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