NPI 1780818229
Luis Hernandez, IDMT
Practice location
- Address
- 331 Sijen Ave, Whiteman Afb, MO 65305-1269
- Phone
- (660) 687-4310
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1780818229
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 May 2009
- Record last updated
- 22 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.