Mr. Richard Destrade Hernandez Sr., PA
Mr. Richard Destrade Hernandez Sr., PA is a Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2024
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1847 W Heatherbrae DrPhoenix, AZ 85015-4764
Phone: (602) 274-2100
Fax: (602) 535-3166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10419 (AZ) |
|---|
Record details
| NPI number | 1407684533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2024 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
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