Individual
MR. GEORGE ASHFORD HALTERMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
107 ESPERANZA AVE, SIERRA MADRE, CA 91024-2415
(626) 355-1672
Mailing address
107 ESPERANZA AVE, SIERRA MADRE, CA 91024-2415
(626) 355-1672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10735
CA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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