Individual
JUSTIN G FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(316) 300-4000
(316) 300-4040
Mailing address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(316) 300-4000
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-38332
KS
207R00000X
Internal Medicine Physician
9407852
KS
208M00000X
Hospitalist Physician
04-38332
KS
Other
Enumeration date
06/06/2012
Last updated
08/17/2023
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