Individual
DR. STEVEN G. FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Mailing address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G74705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G747050
—
CA
Enumeration date
04/05/2006
Last updated
05/22/2008
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