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Individual

DR. EMIL FERNANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901
(573) 785-7721
Mailing address
2566 STONE RIDGE DR, POPLAR BLUFF, MO 63901-2169

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017001080
MO
207R00000X
Internal Medicine Physician
280374
NY
207R00000X
Internal Medicine Physician
35.134257
OH

Other

Enumeration date
07/03/2012
Last updated
04/26/2019
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