William J Herron D.o P.c.

NPI #1902111693 in Idabel, Oklahoma

Provider Information

NPI Number: 1902111693
Entity Type: Organization
Organization Name: William J Herron D.o P.c.
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2010
Last Updated: Aug 22, 2010

Practice Location

Address: 1315 LYNN LN
City: Idabel
State: Oklahoma
ZIP Code: 74745-6845
Phone: (580) 286-3328

Authorized Official

Name: DR. WILLIAM JOSEPH HERRON, D.O.
Title: PRESIDENT
Phone: (580) 286-3328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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