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FEDERICO SAMORTIN DOCTOR M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1790846129

Individual Registrant:
 FEDERICO SAMORTIN DOCTOR M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
5342 DUDLEY BLVD  MCCLELLAN, CA 95652-1012 US
Tel: 916-561-7400  Fax: 916-561-7405

Contact information for business:
8301 W CHARLESTON BLVD APT.2066 LAS VEGAS, NV 89117-9068 US
Tel: 702-577-3027  Fax: --

Registration Information:
NPI: 1790846129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NY242423
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA101104

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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