DR. WALTER EUGENE EGERTON M.D. NPI 1194851063

NPI Information

NPI: 1194851063
Provider Name: DR. WALTER EUGENE EGERTON, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
1303 E HERNDON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 450-7098
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DR. Walter Eugene Egerton, M.D. is an adolescent medicine pediatrics in Fresno, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Walter Eugene Egerton, M.D. NPI is 1194851063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1303 E HERNDON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 450-7098
Fax: (559) 450-4238

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD034443	DISTRICT OF COLUMBIA	No
2	208000000X	Pediatrics		25492	NORTH CAROLINA	No
3	2080A0000X	Pediatrics	Adolescent Medicine	C146978	CALIFORNIA	Yes
4	2080A0000X	Pediatrics	Adolescent Medicine	D0059017	MARYLAND	No
5	2080A0000X	Pediatrics	Adolescent Medicine	180846	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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