| Walter D Bramson Md A Professional Corporation | |
| 
					580 Forest Shade Rd Unit 1 Crestline CA 92325-3816  | |
| (909) 338-1851 | |
| (909) 338-6381 | 
| Full Name | Walter D Bramson Md A Professional Corporation | 
|---|---|
| Speciality | Clinic/center | 
| Location | 580 Forest Shade Rd Unit 1, Crestline, California | 
| Authorized Official Name and Position | Walter David Bramson (PRESIDENT) | 
| Authorized Official Contact | 9093381851 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Walter D Bramson Md A Professional Corporation Po Box 3816 580 Forest Shade Rd Unit 1 Crestline CA 92325-3816 Ph: (909) 338-1851  | Walter D Bramson Md A Professional Corporation 580 Forest Shade Rd Unit 1 Crestline CA 92325-3816 Ph: (909) 338-1851  | 
| NPI Number | 1700216488 | 
|---|---|
| Provider Enumeration Date | 11/18/2013 | 
| Last Update Date | 06/13/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700216488 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | G40647 (California) | Primary |