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Contact Information

BISMARK R FERNANDEZ TAVAREZ, MD
2811 TIETON DR
YAKIMA, WA98902
 Phone: 509-833-5592
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BISMARK R FERNANDEZ TAVAREZ · (Male)

NPI # 1124375225
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2012
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • PR License # 29799R
Hospital affiliation(s)
  • YAKIMA VALLEY MEMORIAL HOSPITAL - (Acute Care)
    2811 TIETON DRIVE
    YAKIMA, WA 98902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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