person
Dr. Ulysses Fernandez-miro JR., DO
Military Health Care Provider in O Fallon, Illinois
NPI 1235707746

Ulysses Fernandez-miro JR. is a Military Health Care Provider based in O Fallon, IL. Ulysses Fernandez-miro JR. practices in O Fallon, IL and has the professional credentials of DO. The NPI Number for Ulysses Fernandez-miro JR. is 1235707746 and holds a License No. (Illinois).

The current practice location address for Ulysses Fernandez-miro JR. is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL and can be reached out via phone at 618-256-9355 and via fax at 618-206-2332.

Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL, 62269-1284
person
Provider Profile Details
NPI Number
1235707746
Provider Name
Ulysses Fernandez-miro JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL, 62269-1284
Phone Number
618-256-9355
Fax Number
618-206-2332
Provider Enumeration Date
06/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Saint Elizabeth Blvd Ste 4000
City
State
Zip
62269-1284
Phone Number
618-256-9355
Fax Number
618-206-2332
person
Provider Business Mailing Address Details
Address
3 Saint Elizabeth Blvd Ste 4000
City
State
Zip
62269-1284
Phone Number
618-256-9355
Fax Number
618-206-2332
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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