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Individual

DR. ULYSSES FERNANDEZ-MIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-2778
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-2778

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023045806
MO
208D00000X
General Practice Physician
2023045806
MO

Other

Enumeration date
06/12/2021
Last updated
06/17/2025
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