Individual
DR. FERNANDO JAVIER MORELL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 JACKSON ST STE 115, ANDERSON, IN 46016-4386
(765) 643-6961
Mailing address
2101 JACKSON ST STE 115, ANDERSON, IN 46016-4386
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01087067A
IN
207Y00000X
Otolaryngology Physician
35.133844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301637
—
OH
Enumeration date
06/24/2013
Last updated
06/01/2022
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