Rudy S Fernandez Md Pc | |
1023 Waterwood Pkwy Edmond OK 73034-5324 | |
(405) 513-7226 | |
(405) 513-5620 |
Full Name | Rudy S Fernandez Md Pc |
---|---|
Speciality | Radiology - Diagnostic Radiology |
Location | 1023 Waterwood Pkwy, Edmond, Oklahoma |
Authorized Official Name and Position | Rodolfo 'rudy' S Fernandez (PRESIDENT/CEO) |
Authorized Official Contact | 4055137226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rudy S Fernandez Md Pc 2224 Nw 50th St Suite 276w Oklahoma City OK 73112-8046 Ph: (405) 858-2350 | Rudy S Fernandez Md Pc 1023 Waterwood Pkwy Edmond OK 73034-5324 Ph: (405) 513-7226 |
NPI Number | 1528213063 |
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Provider Enumeration Date | 11/25/2008 |
Last Update Date | 11/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528213063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20140 (Oklahoma) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 20140 (Oklahoma) | Primary |
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