Martin Jay Hernandez MD PC
Family Medicine in Phoenix, AZ. Organization (NPI-2).
NPI number1932271996
StatusActive
Last updated in NPPESNov 21, 2014
Details
- NPI
- 1932271996
- Entity type
- Organization (NPI-2)
- Legal business name
- Martin Jay Hernandez MD PC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Nov 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 31880 | AZ | Yes |
Practice location
711 E Missouri AveSuite 190
Phoenix, AZ 85014-2841
Phone 623-936-3223 · Fax 623-936-4554
Mailing address
711 E Missouri AveSuite 190
Phoenix, AZ 85014-2841
Phone 623-936-3223 · Fax 623-936-4554
Authorized official
Martin Jay Hernandez
Owner
6239363223
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