Individual
MR. ERIC JAMES HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6525 GUNPARK DR STE 370-202, BOULDER, CO 80301-3346
(720) 799-7473
(720) 293-1122
Mailing address
6525 GUNPARK DR STE 370-202, BOULDER, CO 80301-3346
(720) 799-7473
(720) 293-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49265
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12778575
—
CO
01
—
49265
MEDICAL LICENSE
CO
Enumeration date
06/13/2008
Last updated
07/11/2023
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