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NPI Code Detail

MEDICARE: DR. JOSE ESTEBAN ALFARO QUEZADA MD

MEDICARE:  DR. JOSE ESTEBAN ALFARO QUEZADA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianA154966CA

General Provider Information

NPI Number : 1992167886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE ESTEBAN ALFARO QUEZADA MD
Provider Business Mailing Address
First Line : 205 E RIVER PARK CIR STE 460
Second Line :
City : FRESNO
State : CA
Zip : 93720-1585
Country : US
Telephone Number : 559-261-4503
Fax Number :
Provider Business Practice Location Address
First Line : 205 E RIVER PARK CIR STE 460
Second Line :
City : FRESNO
State : CA
Zip : 93720-1585
Country : US
Telephone Number : 559-261-4503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 07/28/2021

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Directions to “ DR. JOSE ESTEBAN ALFARO QUEZADA MD” Practice Location

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