Organization
WILLIAM FERNANDEZ MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FERNANDEZ MD (OWNER)
(406) 442-6969
Entity
Organization
Contact information
Practice address
2400 GOLD RUSH AVE, HELENA, MT 59601-5663
(406) 465-6957
(406) 443-3350
Mailing address
2400 GOLD RUSH AVE, HELENA, MT 59601-5663
(406) 465-6957
(406) 443-3350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8680
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000083075
MEDICARE GROUP NUMBER
—
Enumeration date
11/28/2007
Last updated
05/08/2009
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