Individual
VICKIE A WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD INC
Contact information
Practice address
1313 E HERNDON AVE, STE 205, FRESNO, CA 93720-3306
(559) 435-0311
(559) 435-1708
Mailing address
1313 E HERNDON AVE, STE 205, FRESNO, CA 93720-3306
(559) 435-0311
(559) 435-1708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G58237
CA
2084N0400X
Neurology Physician
Primary
G58237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G582370
—
CA
Enumeration date
06/14/2005
Last updated
06/22/2010
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