Organization
RUDY S FERNANDEZ MD PC
Active
Organization
RUDY S FERNANDEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO 'RUDY' S FERNANDEZ MD (PRESIDENT/CEO)
(405) 513-7226
Entity
Organization
Contact information
Practice address
1023 WATERWOOD PKWY, EDMOND, OK 73034-5324
(405) 513-7226
(405) 513-5620
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
(405) 858-2365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20140
OK
2085R0202X
Diagnostic Radiology Physician
Primary
20140
OK
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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