Individual
DR. FERNANDO E GAMONEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4303 PITMAN ST, FORT SILL, OK 73503-4473
(580) 585-5782
Mailing address
PO BOX 33326, FORT SILL, OK 73503-0326
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21087
PR
Other
Enumeration date
06/27/2017
Last updated
04/02/2020
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