Individual
DR. NICANOR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W BASELINE RD STE 8, TEMPE, AZ 85283-1068
(602) 323-0904
Mailing address
2727 W BASELINE RD STE 8, TEMPE, AZ 85283-1068
(602) 323-0904
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R80648
AZ
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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