| Dr Ulysses Fernandez-miro Jr, DO | |
|
3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | |
| (618) 256-9355 | |
| (618) 206-2332 |
| Full Name | Dr Ulysses Fernandez-miro Jr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235707746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2023045806 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ulysses Fernandez-miro Jr, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 256-9355 | Dr Ulysses Fernandez-miro Jr, DO 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 256-9355 |
Jacob Stephen Thompson, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880 | |
Dr. James Robert Bobco Jr., MD General Practice Medicare: Medicare Enrolled Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-9355 Fax: 618-206-2332 | |
Dr. Crystal Vaughn Manse, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-5480 Fax: 618-222-4792 | |
Mr. Robert F Ladove, MD General Practice Medicare: Medicare Enrolled Practice Location: 916 Talon Dr, Suite 102, O Fallon, IL 62269 Phone: 618-628-8211 Fax: 618-628-0883 | |
Dr. Ross Stanton, MD, JD, MPH General Practice Medicare: Medicare Enrolled Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-222-4600 Fax: 618-222-4792 |