Search › Missouri › 2080P0206X
Fernando Medina Carbonell, M.D
NPI 1467747659 · on the registry since 2011
Practice
- Address
- 1465 S Grand Blvd
Saint Louis, MO 63104 - Phone
- (314) 268-4010
- Fax
- (314) 268-2775
- Organisation at this address
- Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 531
Additional practice sites
- 4502 Medical Dr, San Antonio, TX
- 111 N 84th St, Omaha, NE
- 982161 Nebraska Medical Ctr, Omaha, NE
Registry record
- Primary taxonomy
- 2080P0206X
2080P0206X
- Also registered as
- 2080P0206X
- Licence states on file
- NE, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri