Individual
TODD CHRISTOPHER HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18444 N 25TH AVE STE 210, PHOENIX, AZ 85023-1264
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46224
AZ
2084N0400X
Neurology Physician
Primary
46224
AZ
2084P0800X
Psychiatry Physician
46224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
694419
—
AZ
Enumeration date
03/26/2012
Last updated
03/04/2024
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