Mr. ALFONSO JR HERNANDEZ PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1720502917- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 466 HORROCKS DR, BLACKFOOT, ID, 832213452
- Phone
- (307) 399-5925
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-1530
All Addresses
MAILING
466 HORROCKS DR
BLACKFOOT, ID, 832213452