Individual
MR. VINCENT ROBERT HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5656 S POWER RD, GILBERT HOSPITAL, GILBERT, AZ 85236
(480) 984-2000
(480) 279-5836
Mailing address
PO BOX 808, WINFIELD, WV 25213
(304) 586-0771
(304) 586-0799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1925
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344648001
—
AZ
Enumeration date
12/08/2006
Last updated
09/01/2022
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