Individual
GEOVER FERNANDEZ
Active
Individual
GEOVER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A103070
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A103070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00980455
MEDICARE RAILROAD PTAN
CA
Enumeration date
07/10/2006
Last updated
01/02/2013
Update your record
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