BARRY FERNANDO, MD AND COLEENE FERNANDO, MD PC
Medical Practice at Camelback Rd, Phoenix, AZ

License number
Arizona 17802
Category
Medical Practice
Type
Specialist
Owner
Name: BARRY FERNANDO M.D.
Title: MEDICAL DIRECTOR
Phone: (602) 956-3596
Address
Address
2777 E Camelback Rd #140, Phoenix, AZ 85016
National Provider ID: 1386970531
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BARRY FERNANDO, M.D. & COLEENE FERNANDO, M.D., PC

Suite 14 SUITE 140, Phoenix, AZ 85016

Registration:
Apr 15, 1992
State ID:
-0241406-0
Expiration:
Perpetual
Secretarys:
Barry Fernando (President), #140, Phoenix, AZ 85016 (Physical),Coleene Fernando (Secretary), Suite 14 SUITE 140, Phoenix, AZ 85016 (Physical)
Agent:
W A S Inc,9141 E Hidden Spur Trl, Scottsdale, AZ 85255 (Physical)
Business type:
Health Care

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