Individual
DR. JAMES FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 MADISON AVE, SUITE 200, GRANITE CITY, IL 62040-4744
(618) 451-1800
(618) 451-1526
Mailing address
59 LAKE FRST, SAINT LOUIS, MO 63117-1303
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
R6F41
MO
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Enumeration date
03/15/2006
Last updated
01/23/2008
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