Individual
DR. PETER NICHOLAS FEDORKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 STOCKTON BLVD, SUITE E, SACRAMENTO, CA 95817-1418
(916) 734-7290
Mailing address
40 PARK CITY COURT, APT. 4106, SACRAMENTO, CA 95831
(916) 399-6001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A81068
CA
Other
Enumeration date
06/29/2007
Last updated
12/03/2021
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