Individual
RICARDO ANDRES HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Mailing address
1600 EAST BROADWAY, BOX 50, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007012449
MO
207R00000X
Internal Medicine Physician
241423
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2007012449
MO
207RP1001X
Pulmonary Disease Physician
2007012449
MO
Other
Enumeration date
12/19/2006
Last updated
08/01/2019
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