Mark T. Fahlen, Md, Inc. a Professional Medical Corporation
NPI #1659537264 in Modesto, California
Provider Information
- NPI Number
- 1659537264
- Entity Type
- Organization
- Organization Name
- Mark T. Fahlen, Md, Inc. a Professional Medical Corporation
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Aug 3, 2008
- Last Updated
- Aug 2, 2011
Practice Location
- Address
- 1400 FLORIDA AVE
- Address 2
- SUITE 109
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4422
- Phone
- (209) 544-2910
Authorized Official
- Name
- DR. MARK THEODORE FAHLEN, M.D.
- Title
- PRESIDENT
- Phone
- (209) 544-2910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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