Individual
ARTHUR B FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E ALMOND AVE, MADERA, CA 93637-5606
(661) 204-5411
(661) 325-1725
Mailing address
PO BOX 10296, BAKERSFIELD, CA 93389-0296
(661) 322-9958
(661) 325-1725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G59286
CA
2085R0204X
Vascular & Interventional Radiology Physician
G59286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G592860
—
CA
Enumeration date
08/19/2005
Last updated
06/26/2019
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