Individual
DR. BISMARK R FERNANDEZ TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902
(509) 833-5592
Mailing address
2811 TIETON DR, YAKIMA, WA 98902
(509) 833-5592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29799R
PR
Other
Enumeration date
08/07/2012
Last updated
09/14/2016
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