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NPI Code Detail

MEDICARE: TONY C. FERNANDEZ MD

MEDICARE: TONY C. FERNANDEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine PhysicianA78382CA
2207R00000XInternal Medicine PhysicianA78382CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285712190
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY C. FERNANDEZ MD
Provider Business Mailing Address
First Line : 2555 S EAST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-5104
Country : US
Telephone Number : 559-499-2400
Fax Number : 559-264-9241
Provider Business Practice Location Address
First Line : 2555 S EAST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-5104
Country : US
Telephone Number : 559-499-2400
Fax Number : 559-264-9241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/09/2011

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Directions to “ TONY C. FERNANDEZ MD” Practice Location

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