Individual
DR. HARRY CLIFFORD FORNWALT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A103430
CA
208M00000X
Hospitalist Physician
Primary
A103430
CA
Other
Enumeration date
01/31/2009
Last updated
04/06/2023
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