Norman M Fernando MD

NPI 1023001963 - Internal Medicine - 207RP1001X

NPI Details
NPI 1023001963
Gender Male
Enumeration Date 08/25/2005
Last Updated 12/01/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
6619 N 19TH AVE
STE B
PHOENIX AZ, 85015-1631, US
Phone (602) 254-5777
Fax (602) 253-9771
Business Location
6619 N 19TH AVE
STE B
PHOENIX AZ, 85015-1631, US
Phone (602) 254-5777
Fax (602) 253-9771
Toxanomy
Taxonomy Code 207RP1001X
License State Arizona
License Number 15894
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According to our database, Dr. Norman M Fernando MD NPI is 1023001963, taxonomy code is 207RP1001X and license number is 15894, license state is located at Arizona. Norman M Fernando MD physically located at 6619 N 19th Ave, Phoenix AZ, 85015-1631. NPI Number Norman M Fernando MD has the Individual type.

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1023001963 NPI number is provided on an as is basis without warranty of any kind. 1023001963 is maintained by the National Plan & Provider Enumeration System. The contents of Norman M Fernando MD are for informational purposes only.