Individual
DR. LUIS ANTHONY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 DIVISION ST, PRESCOTT, AZ 86301-1601
(928) 776-8428
(928) 776-8057
Mailing address
1005 DIVISION ST, PRESCOTT, AZ 86301-1601
(928) 776-8428
(928) 776-8057
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA05540000
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
37106
AZ
Other
Enumeration date
05/12/2006
Last updated
11/20/2012
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