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General NPI Number Information
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NPI Number | 1225020845
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Entity Type | Individual
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Provider Name | ARTHUR B FONTAINE MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 1250 E ALMOND AVE
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City | MADERA
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State | CA
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Zip | 93637-5606
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Country | US
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Telephone | 661-204-5411
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Fax | 661-325-1725
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Provider Business Mailing Address
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Address Line | PO BOX 10296
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City | BAKERSFIELD
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State | CA
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Zip | 93389-0296
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Country | US
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Telephone | 661-322-9958
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Fax | 661-325-1725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | G59286
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G59286
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License Number State | CA
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