Luis Hernandez, IDMT

NPI #1780818229 in Whiteman Afb, Missouri

Provider Information

NPI Number: 1780818229
Entity Type: Individual
Name: Luis Hernandez, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: May 13, 2009
Last Updated: Jul 22, 2015

Practice Location

Address: 331 SIJEN AVE
City: Whiteman Afb
State: Missouri
ZIP Code: 65305-1269
Phone: (660) 687-4310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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