Organization
FREDERICO FERNANDEZ, MD. PC
Active
Organization
FREDERICO FERNANDEZ, MD. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICO YAMBAO FERNANDEZ M.D. (PRESIDENT)
(256) 845-0023
Entity
Organization
Contact information
Practice address
2804 GREENHILL BLVD NW STE 101, FORT PAYNE, AL 35968-3067
(256) 845-0023
(256) 845-0238
Mailing address
2804 GREENHILL BLVD NW STE 101, FORT PAYNE, AL 35968-3067
(256) 845-0023
(256) 845-0238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.21001
AL
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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