Organization
WALTER M. FIERSON, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER MILES FIERSON M.D. (PRESIDENT)
(626) 304-7081
Entity
Organization
Contact information
Practice address
1245 W HUNTINGTON DR, SUITE 109, ARCADIA, CA 91007-6333
(626) 304-7081
(626) 304-1078
Mailing address
1245 W HUNTINGTON DR, SUITE 109, ARCADIA, CA 91007-6333
(626) 304-7081
(626) 304-1078
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G29165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G291650
—
CA
01
—
WC29165C
MEDICARE ID TYPE UNSPECIFIED
CA
Enumeration date
06/03/2008
Last updated
01/22/2009
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