Doctor Name: | CLARENCE EMANUEL WARNER |
NPI Number: | 1396172110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G62334 |
Business Practice Address: | 4420 N 1st St Ste #121 Fresno, CA - 937262331 |
Business Phone Number: | 5592301485 |
Business Fax Number: | 5592301502 |
Mailing Address: | 4420 N 1st St, Ste #121 FRESNO |
State: | CA |
Postal Code: | 937262331 |
Phone Number: | 5592301485 |
Fax Number: | 5592301502 |
NPI Enumeration Date: | 10/11/2013 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G62334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |