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Individual

RICHARD E HERLIHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4140 W MEMORIAL RD, SUITE 611, OKLAHOMA CITY, OK 73120-8366
(405) 749-4288
(405) 749-4287
Mailing address
4140 W MEMORIAL RD STE 611, OKLAHOMA CITY, OK 73120-8300
(405) 749-4288
(405) 749-4287

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12710
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100088990A
OK
01
202130641010
BC/BS
OK
Enumeration date
04/03/2006
Last updated
03/19/2020
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