MR. ALFONSO HERNANDEZ, PA-C
Physician Assistant
Active
Individual
NPI: 1720502917
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-1530 (ID) |
Frequently Asked Questions
NPI 1720502917 is the National Provider Identifier for MR. ALFONSO HERNANDEZ, PA-C, a Physician Assistant provider located in Blackfoot, ID. This NPI was enumerated on July 28, 2017.
MR. ALFONSO HERNANDEZ, PA-C practices at 466 HORROCKS DR, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1720502917
- Type
- Individual
- Enumerated
- Jul 28, 2017
- Last Updated
- Feb 22, 2018
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