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FRED L ANDERSON
18151 BEAR VALLEY RD HESPERIA CA 923454907

FRED L ANDERSON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1275600017. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1254494404. The primary specialty is PODIATRY. The organization is CRISMALI PODIATRIC MEDICAL CORP. The address is 18151 BEAR VALLEY RD, , HESPERIA, CA, 923454907. The zip code is 923454907.


Nation Provider ID1275600017
PAC ID by PECOS1254494404
Professional Enrollment IDI20090114000141
NameFRED L ANDERSON
Medical School NameCALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year1978
Primary SpecialtyPODIATRY
All secondary specialties
Organization NameCRISMALI PODIATRIC MEDICAL CORP
Group Practice PAC ID7012926223
Number of Group Practice members3
Address18151 BEAR VALLEY RD, , HESPERIA, CA, 923454907
Hospital affiliation LBN
Graduation Year1978
Contact Number7609487400
Email Address[Show_Email_ID]

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