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Individual
MR. RICHARD HEROD
Active
Individual
MR. RICHARD HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001211
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143284
ANTHEM PPO
—
01
—
181683
HEALTHKEEPERS
—
01
—
2622581
AETNA
—
01
—
3771806
AETNA
—
01
—
412143526
PHCS
—
01
—
429173
MAMSI
—
01
—
429180
MAMSI
—
01
—
541999128
PHCS
—
01
—
6400713
UNITED HEALTHCARE
—
01
—
6404543
UNITED HEALTHCARE
—
05
—
8941653
—
VA
01
—
P00040375
RR MEDICARE
—
01
—
P002340000
RR MEDICARE
—
Enumeration date
04/12/2006
Last updated
11/20/2015
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