Maximo Lebumfacil Fernan, MD Valid NPI

Individual provider · Pulmonary Disease Physician · Muskogee, OK

NPI

1134172083

Type

Individual (Type 1)

Primary specialty

Pulmonary Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RP1001X

License number

19702 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-05-19

Last updated

2015-07-24