Olimpo Fernando Fonseca, MD

NPI #1265443410 in Duffield, Virginia

Provider Information

NPI Number: 1265443410
Entity Type: Individual
Name: Olimpo Fernando Fonseca, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 134 CECIL D QUILLEN DR
City: Duffield
State: Virginia
ZIP Code: 24244-9726
Phone: (276) 431-1638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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