Provider Demographics
NPI:1699788349
Name:WELDEN, ARNOLD OLIVER (MD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:OLIVER
Last Name:WELDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2251
Mailing Address - Country:US
Mailing Address - Phone:559-686-0123
Mailing Address - Fax:559-686-7552
Practice Address - Street 1:1255 N CHERRY ST
Practice Address - Street 2:PMB#612
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2233
Practice Address - Country:US
Practice Address - Phone:559-686-0123
Practice Address - Fax:559-686-7552
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC35711Medicare UPIN
CABD679WMedicare PIN