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Organization

LOIDA M HERNANDEZ MD PROF CORP

Active
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Organization

LOIDA M HERNANDEZ MD PROF CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOIDA M HERNANDEZ MD (PRESIDENT)
(702) 876-1000
Entity
Organization

Contact information

Practice address
4441 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 876-1000
(702) 876-0061
Mailing address
PO BOX 50067, HENDERSON, NV 89016-0067
(702) 876-1000
(702) 876-0061

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9649
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100503316
NV
Enumeration date
08/06/2007
Last updated
01/31/2013
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