Healthcare Provider Details

I. General information

NPI: 1407896517
Provider Name (Legal Business Name): CRAIG R. AARONSON D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 06/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6235 N FRESNO ST STE. 101
FRESNO CA
93710-5269
US

IV. Provider business mailing address

6235 N FRESNO ST STE. 101
FRESNO CA
93710-5269
US

V. Phone/Fax

Practice location:
  • Phone: 559-229-3668
  • Fax: 559-244-5866
Mailing address:
  • Phone: 559-229-3668
  • Fax: 559-244-5866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE3420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: