MR. David Heriford, PA

NPI #1992750236 in Virginia, Illinois

Provider Information

NPI Number: 1992750236
Entity Type: Individual
Name: MR. David Heriford, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 331 S MAIN ST
City: Virginia
State: Illinois
ZIP Code: 62691-1519
Phone: (217) 452-3507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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