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Individual

TONY C. FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2555 S EAST AVE, FRESNO, CA 93706-5104
(559) 499-2400
(559) 264-9241
Mailing address
2555 S EAST AVE, FRESNO, CA 93706-5104
(559) 499-2400
(559) 264-9241

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A78382
CA
2083X0100X
Occupational Medicine Physician
Primary
A78382
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A783820
CA
Enumeration date
11/01/2006
Last updated
11/09/2011
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