Mark Edward Hernandez M.D.

NPI 1457416224 - Family Medicine - 207Q00000X

NPI Details
NPI 1457416224
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
302 S 1ST AVE
SANDPOINT ID, 83864-1258, US
Phone (208) 263-5109
Fax (208) 263-5112
Business Location
SANDPOINT ID, 83864-8657, US
Phone (208) 263-1588
Fax (208) 263-5112
Taxonomy Code 207Q00000X
License State Idaho
License Number M6092
Remove 1457416224 NPI Number

According to our database, Dr. Mark Edward Hernandez M.D. NPI is 1457416224, taxonomy code is 207Q00000X and license number is M6092, license state is located at Idaho. Mark Edward Hernandez M.D. physically located at 302 S 1st Ave, Sandpoint ID, 83864-1258. NPI Number Mark Edward Hernandez M.D. has the Individual type.

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1457416224 NPI number is provided on an as is basis without warranty of any kind. 1457416224 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edward Hernandez M.D. are for informational purposes only.