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1841299302
LUIS FERNANDEZ
POCATELLO, ID
NPI
1841299302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M8581)
Enumeration Date
2005-07-18
Last Update Date
2023-12-28
Business Address
Dr. LUIS FERNANDEZ MD
2850 OLYMPUS DR.
POCATELLO, ID 83201
Phone number: 208-239-3815
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Mailing Address
Dr. LUIS FERNANDEZ MD
2850 OLYMPUS DR.
POCATELLO, ID 83201
Phone number: 208-239-3815
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