NPI 1730275355

Fadi Elias Malak, DPM

Practitioner Podiatrist Roseburg, OR

Practice location

Address: 913 NW Garden Valley Blvd, Roseburg, OR 97470-6523
Phone: (541) 440-1000
Fax: (541) 440-1343
Mailing address: PO Box 126, Winchester, OR 97495-0126

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 00229 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1730275355
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.