Individual provider · Type 1 NPI

Caronia Philesia Wallace-Fair, DO

Pediatric Emergency Medicine (Emergency Medicine) Physician · Madera, CA

NPI number 1982996195 Active

Practice location

9300 Valley Childrens Pl
Madera, CA 93636-8761

Call (559) 353-3000 Map

Mailing address

39868 Avenue 7 1/2
Madera, CA 93636

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Emergency Medicine (Emergency Medicine) Physician Primary 207PP0204X15444 (CA)

Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

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About NPI 1982996195

Caronia Philesia Wallace-Fair, DO's National Provider Identifier is 1982996195, issued on May 5, 2011. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Madera, CA. The record was last updated on Jul 21, 2022.