Individual
DR. JOHN PATRICK FERNALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
354 COMMERCE DR, BEAVER, WV 25813-8985
(304) 250-0150
(304) 250-0153
Mailing address
1619 STANAFORD RD STE 208, BECKLEY, WV 25801-8624
(304) 929-6930
(304) 929-6935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101234192
VA
208000000X
Pediatrics Physician
Primary
23655
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013660
—
WV
Enumeration date
02/01/2006
Last updated
10/09/2025
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