Luis M Fernandez in Pocatello - Family Medicine

Luis M Fernandez - NPI 1841299302

Luis M Fernandez is a Family Medicine in Pocatello, Idaho. Luis M Fernandez practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Luis M Fernandez is 1841299302. The last update date is 2021-08-27.

Luis M Fernandez's current location address is 500 S. 11th Ave, Pocatello, Idaho. You can contact this provider via phone number 2082393815 and fax number 2082393814. The mailing address for Luis M Fernandez is 500 S. 11th Ave, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Luis M Fernandez
Address 500 S. 11th Ave, Pocatello, Idaho
Phone Number 2082393815
Fax Number 2082393814
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1841299302
Provider Enumeration Date 2005-07-18
Last Updated Date 2021-08-27

Provider Mailing Address Detail

Address 500 S. 11th Ave
City Pocatello
State Idaho (ID)
Post Code 83201
Phone Number 2082393815
Fax Number 2082393814

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No M8581
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J7855 ID BLUE CROSS (LV)
J7889 ID BLUE CROSS (PO)
J7863 ID BLUE CROSS (AF)
J7871 ID BLUE CROSS (DW)
805465900 ID --
B5763 ID BLUE CROSS (MC)
52282 ID BLUE CROSS OF ID (AB)

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FAQs about Luis M Fernandez

What is the Luis M Fernandez's 1841299302?

The Luis M Fernandez's NPI (National Provider Identifier) Number is 1841299302. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Luis M Fernandez is geographically located?

The Luis M Fernandez is physically situated at the following location: 500 S. 11Th Ave, Pocatello, ID, 83201.

What is the Luis M Fernandez's specialty and taxonomy code?

The Luis M Fernandez's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Luis M Fernandez's 1841299302 issued?

The Luis M Fernandez's 1841299302 was issued on 2005-07-18.

When was the information regarding Luis M Fernandez most recently updated?

The details pertaining to the Luis M Fernandez, including its address, specialty, and other relevant information, were last refreshed on 2021-08-27.

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