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 |
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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 |
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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 |
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Provider Enumeration Date | 11/18/2013 |
Last Update Date | 06/13/2014 |
Identifier | Type | State | Issuer |
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1700216488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | G40647 (California) | Primary |