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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 ID||1275600017|
|PAC ID by PECOS||1254494404|
|Professional Enrollment ID||I20090114000141|
|Name||FRED L ANDERSON|
|Medical School Name||CALIFORNIA COLLEGE PODIATRIC MEDICINE|
|All secondary specialties|
|Organization Name||CRISMALI PODIATRIC MEDICAL CORP|
|Group Practice PAC ID||7012926223|
|Number of Group Practice members||3|
|Address||18151 BEAR VALLEY RD, , HESPERIA, CA, 923454907|
|Hospital affiliation LBN|