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Individual

DR. WALTER EUGENE EGERTON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1303 E HERNDON AVE, FRESNO, CA 93720
(559) 450-7098
(559) 450-4238
Mailing address
175 CAMPUS LAKES CT, BEL AIR, MD 21015-1713
(410) 734-0211
(410) 734-6610

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25492
NC
208000000X
Pediatrics Physician
MD034443
DC
2080A0000X
Pediatric Adolescent Medicine Physician
180846
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
C146978
CA
2080A0000X
Pediatric Adolescent Medicine Physician
D0059017
MD

Other

Enumeration date
02/26/2007
Last updated
06/21/2018
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