Individual
JAMES S HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
40690
AZ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
29578
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
40690
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301508400
—
MN
05
—
365208
—
AZ
01
—
P00624757
RAILROAD MEDICARE
AZ
Enumeration date
12/21/2005
Last updated
10/31/2008
Update your record
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