Organization
DESERT GENERAL SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR HERNANDEZ MD (PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
485 S DOBSON RD, SUITE 105, CHANDLER, AZ 85224-5602
(480) 985-1093
(480) 985-0468
Mailing address
485 S DOBSON RD, SUITE 105, CHANDLER, AZ 85224-5602
(480) 985-1093
(480) 985-0468
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN3231
RAIL ROAD MEDICARE
AZ
Enumeration date
08/10/2006
Last updated
11/07/2007
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