Individual
JUAN A FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2126 W ROY PARKER RD, SUITE 202, OZARK, AL 36360-8566
(334) 774-1200
Mailing address
2126 W ROY PARKER RD, SUITE 202, OZARK, AL 36360-8566
(334) 774-1200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-26392
KS
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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