Individual
DR. MOHAMED AMR HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Mailing address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A48947
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A48947
CA
208D00000X
General Practice Physician
A48947
CA
Other
Enumeration date
05/16/2006
Last updated
08/07/2013
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