Individual provider · Type 1 NPI
Walter Eugene Egerton Iii, MD
Pediatric Adolescent Medicine Physician · Fresno, CA
NPI number
1194851063
Active
Practice location
1303 E Herndon Ave
Fresno, CA 93720
Fax (559) 450-4238
Mailing address
175 Campus Lakes Ct
Bel Air, MD 21015-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 25492 (NC) |
| Pediatrics Physician | 208000000X | MD034443 (DC) |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 180846 (NY) |
| Pediatric Adolescent Medicine Physician | 2080A0000X | D0059017 (MD) |
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | C146978 (CA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1194851063
Walter Eugene Egerton Iii, MD's National Provider Identifier is 1194851063, issued on Feb 26, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Fresno, CA. The record was last updated on Jun 21, 2018.