| Roger L. Fife, M.d., Inc | |
|
780 West Olive Avenue Suite 104 Merced CA 95348-2437 | |
| (209) 723-9879 | |
| (209) 384-9027 |
| Full Name | Roger L. Fife, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 780 West Olive Avenue, Merced, California |
| Authorized Official Name and Position | Roger L. Fife (PRESIDENT) |
| Authorized Official Contact | 2097239879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger L. Fife, M.d., Inc 780 West Olive Avenue Suite 104 Merced CA 95348-2437 Ph: (209) 723-9879 | Roger L. Fife, M.d., Inc 780 West Olive Avenue Suite 104 Merced CA 95348-2437 Ph: (209) 723-9879 |
| NPI Number | 1003860586 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003860586 | NPI | - | NPPES |
| 00A341050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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