Individual
FREDERICK VINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
565 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411-2661
(909) 884-9091
(909) 383-7013
Mailing address
685 CARNEGIE DR, SUITE 230, SAN BERNARDINO, CA 92408-3502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22191
CA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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