NPI 1881824159
Omar D Hernandez Solano, IDMT
Practice location
- Address
- 90 Hope Dr Bldg 6000 366 Amds/Sgpf, Mountain Home a F B, ID 83648-1062
- Phone
- (208) 828-7401
- Fax
- (208) 828-1498
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1881824159
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jul 2009
- Record last updated
- 21 Jul 2009
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.