Organization
DENNIS L FERNANDEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L FERNANDEZ M.D. (PRESIDENT)
(256) 882-1908
Entity
Organization
Contact information
Practice address
4025 PEPPERWOOD CIR SW, SUITE C, HUNTSVILLE, AL 35801-7433
(256) 882-1908
(256) 882-1907
Mailing address
4025 PEPPERWOOD CIR SW, SUITE C, HUNTSVILLE, AL 35801-7433
(256) 882-1908
(256) 882-1907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25395
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935184
—
AL
05
—
1649439472
—
AL
Enumeration date
04/19/2007
Last updated
08/14/2013
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