# WILLIAM J HERRON D.O P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902111693
- **Authorized official:** DR. WILLIAM JOSEPH HERRON D.O. (PRESIDENT)
- **Authorized official phone:** (580) 286-3328

## Contact information

- **Practice address:** 1315 LYNN LN, IDABEL, OK 74745-6845
- **Practice address phone:** (580) 286-3328
- **Practice address fax:** (580) 286-2444
- **Mailing address:** 1315 LYNN LN, IDABEL, OK 74745-6845
- **Mailing address phone:** (580) 286-3328
- **Mailing address fax:** (580) 286-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2097 | OK | Yes |

## Other

- **Enumeration date:** 08/18/2010
- **Last updated:** 08/22/2010
