Vickie A Walton Md Inc | |
1313 E Herndon Ave Ste 205 Fresno CA 93720-3306 | |
(559) 435-0311 | |
(559) 435-3899 |
Full Name | Vickie A Walton Md Inc |
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Speciality | Psychiatry & Neurology |
Location | 1313 E Herndon Ave Ste 205, Fresno, California |
Authorized Official Name and Position | Vickie A Walton (OWNER) |
Authorized Official Contact | 5594350311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vickie A Walton Md Inc 1313 E Herndon Ave Ste 205 Fresno CA 93720-3306 Ph: (559) 435-0311 | Vickie A Walton Md Inc 1313 E Herndon Ave Ste 205 Fresno CA 93720-3306 Ph: (559) 435-0311 |
NPI Number | 1912239203 |
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Provider Enumeration Date | 02/11/2010 |
Last Update Date | 06/18/2010 |
Medicare PECOS PAC ID | 4183756232 |
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Medicare Enrollment ID | O20100726000080 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912239203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 3268536 (California) | Primary |
Provider Name | Victoria A Walton |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1366447658 PECOS PAC ID: 4486786522 Enrollment ID: I20100724000273 |
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