Organization
BARRY FERNANDO, MD AND COLEENE FERNANDO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY FERNANDO M.D. (MEDICAL DIRECTOR)
(602) 956-3596
Entity
Organization
Contact information
Practice address
2777 E CAMELBACK RD, #140, PHOENIX, AZ 85016-4347
(602) 956-3596
(602) 956-4762
Mailing address
2777 E CAMELBACK RD, #140, PHOENIX, AZ 85016-4347
(602) 956-3596
(602) 956-4762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17802
AZ
Other
Enumeration date
10/22/2009
Last updated
02/02/2010
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