Individual
DR. DENNIS LAYSON FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
4025 PEPPERWOOD CIR SW, SUITE C, HUNTSVILLE, AL 35801-7433
(256) 882-1908
(256) 882-1907
Mailing address
4025 PEPPERWOOD CIR SW, SUITE C, HUNTSVILLE, AL 35801-7433
(256) 882-1908
(256) 882-1907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00025395
AL
2086S0102X
Surgical Critical Care Physician
00025395
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935184
—
AL
01
—
051532507
BLUE CROSS BLUE SHIELD
AL
05
—
1649439472
—
AL
Enumeration date
10/11/2005
Last updated
08/14/2013
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