Individual
DR. FREDERICO YAMBAO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2804 GREENHILL BLVD NW, SUITE 101, FORT PAYNE, AL 35968-3066
(256) 845-0023
(256) 845-0238
Mailing address
2804 GREENHILL BLVD NW, SUITE 101, FORT PAYNE, AL 35968-3066
(256) 845-0023
(256) 845-0238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21001
AL
Other
Enumeration date
11/02/2005
Last updated
11/09/2009
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