NPI Search for Physicians and Health Care Providers
FRED L ANDERSON DPM
>> Podiatrist >> Podiatric Medicine & Surgery Service ProvidersRegistrant NPI Number: 1275600017
Individual Registrant:
FRED L ANDERSON DPM
Gender: M
Not Sole Proprietor
Location and contact information for practice:
18151 BEAR VALLEY RD HESPERIA, CA 92345-4907 US
Tel: 760-948-7400 Fax: 760-948-7866
Contact information for business:
18151 BEAR VALLEY RD HESPERIA, CA 92345-4907 US
Tel: 760-948-7400 Fax: 760-948-7866
Registration Information:
NPI: 1275600017
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 213E00000X | Podiatric Medicine & Surgery Service Providers Podiatrist
| CA | E2293 |
Y | 213ES0103X | Podiatric Medicine & Surgery Service Providers Podiatrist | CA | E2293 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1