Individual
JOHN FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W NIFONG BLVD STE 120, COLUMBIA, MO 65203-5615
(573) 444-6331
(855) 576-4137
Mailing address
4508 ROYAL LYTHAM DR, COLUMBIA, MO 65203-5689
(573) 355-2429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018023711
MO
Other
Enumeration date
03/30/2015
Last updated
11/18/2024
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