Individual
DR. ROSE HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
675 E 2100 S, SUITE 390, SALT LAKE CITY, UT 84106-1887
(800) 366-1884
Mailing address
6006 E SONORAN TRL, SCOTTSDALE, AZ 85262-8236
(480) 595-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007563
MI
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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