Individual
DR. TRICIA ANN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3215 WINGATE CT, COLUMBIA, MO 65201-7690
(573) 884-3937
(573) 884-4868
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2021024135
MO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
2021024135
MO
Other
Enumeration date
04/09/2017
Last updated
09/26/2022
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