Search › Idaho › 363A00000X
Alfonso Hernandez, PA-C
NPI 1720502917 · on the registry since 2017
Practice
- Address
- 466 Horrocks Dr
Blackfoot, ID 83221 - Phone
- (307) 399-5925
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho