Israel V Fernando
Israel V Fernando is a Dermatology Physician in Moline, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1588 37th AveMoline, IL 61265-7213
Phone: (309) 797-2713
Fax: (309) 797-9558
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036-101791 (IL) |
|---|
Record details
| NPI number | 1366749616 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Israel Fernando — Owner/Physician · (309) 797-2713 |
| Other names | Advanced Dermatology |
| NPI enumerated | February 23, 2011 |
| Last updated in NPPES | February 23, 2011 |
| Mailing address | 1588 37th Ave, Moline, IL 61265-7213 |
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