| Doctor Name: | MARK ALAN HIDAY |
| NPI Number: | 1033528757 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | F.N.P.-C |
| License Number: | 95000576 |
| Business Practice Address: | 350 Terracina Blvd Redlands, CA - 923734850 |
| Business Phone Number: | 9093355500 |
| Business Fax Number: | |
| Mailing Address: | Po Box 10069, SAN BERNARDINO |
| State: | CA |
| Postal Code: | 924230069 |
| Phone Number: | 9093354188 |
| Fax Number: | 9094783644 |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 95000576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |