Individual
MICHAEL R. HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 560-5717
Mailing address
2920 N CASCADE AVE, FL 3, COLORADO SPRINGS, CO 80907-6262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
35686
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97274070
—
CO
Enumeration date
01/24/2006
Last updated
02/26/2016
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