Individual
DR. DAVID GREGORY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 SOUTH DOBSON ROAD, ATTN: BMG HOSPITALIST TEAM/AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Mailing address
1400 SOUTH DOBSON ROAD, ATTN: BMG HOSPITALIST TEAM/AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006599
AZ
207R00000X
Internal Medicine Physician
A-2092-17
NM
208M00000X
Hospitalist Physician
Primary
006599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-2092-17
NM OSTEOPATHIC LICENSE
NM
Enumeration date
11/20/2008
Last updated
04/13/2021
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