Individual
WALTER SAMUEL HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1377 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3022
(559) 450-7455
(559) 450-7473
Mailing address
1377 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3022
(559) 450-7455
(559) 450-7473
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16233
CA
Other
Enumeration date
06/15/2006
Last updated
02/14/2013
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