Individual
DR. CALEB HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 PRAIRIE CENTER PKWY, BRIGHTON, CO 80601-4006
(303) 498-1999
(303) 498-1915
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45628
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24770850
—
CO
01
—
P00477591
RR MEDICARE
CO
Enumeration date
06/13/2007
Last updated
02/21/2011
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