Individual
DR. DAVID JONATHAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 S SCHWARTZ AVE STE 102, FARMINGTON, NM 87401-5925
(505) 609-6700
Mailing address
407 S SCHWARTZ AVE STE 102, FARMINGTON, NM 87401-5925
(505) 609-6700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2020-0896
NM
208000000X
Pediatrics Physician
ML60756781
WA
Other
Enumeration date
04/05/2017
Last updated
09/16/2020
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