Individual
COLEENE FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2777 E CAMELBACK RD, 140, PHOENIX, AZ 85016-4347
(602) 956-3596
(602) 956-4762
Mailing address
2777 E CAMELBACK RD, 140, PHOENIX, AZ 85016-4347
(602) 956-3596
(602) 956-4762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2921
AZ
Other
Enumeration date
11/15/2005
Last updated
04/10/2014
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