Individual
WALTER A FORRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 E KASHIAN LN STE 301, FRESNO, CA 93701-2234
(559) 443-2684
(559) 264-9199
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C34967
CA
207QA0505X
Adult Medicine Physician
C34967
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
C34967
CA
Other
Enumeration date
06/18/2005
Last updated
03/02/2017
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