Individual
DR. FADI ELIAS MALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1343
Mailing address
PO BOX 126, WINCHESTER, OR 97495-0126
(541) 440-1000
(541) 440-1343
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00229
OR
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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