Individual
JOHN FERNANDO N ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 SPANOS CT, STE 121, MODESTO, CA 95355-2810
(209) 525-3135
(209) 525-3193
Mailing address
1401 SPANOS CT, STE 121, MODESTO, CA 95355-2810
(209) 525-3135
(209) 525-3193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A039877
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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