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Individual
DR. SCOTT HERRON
Active
Individual
DR. SCOTT HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G791440
—
CA
01
—
1821011917
GROUP NPI
—
01
—
7510137
MEDICAID PIN
—
Enumeration date
10/11/2007
Last updated
10/01/2010
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