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Individual

DR. FERNANDO ALEXANDER CARDONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0589
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
(928) 729-8000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10484
PR
208000000X
Pediatrics Physician
Primary
4301079415
MI

Other

Enumeration date
03/01/2006
Last updated
12/26/2017
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