Individual provider · Type 1 NPI

Richard Destrade Hernandez Sr., PA

Physician Assistant · Phoenix, AZ

NPI number 1407684533 Active

Practice location

1847 W Heatherbrae Dr
Phoenix, AZ 85015-4764

Call (602) 274-2100 Map

Fax (602) 535-3166

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10419 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407684533

Richard Destrade Hernandez Sr., PA's National Provider Identifier is 1407684533, issued on Jul 22, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 22, 2024.