Organization
GAIL C HERRON JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL C HERRON JR. (OWNER)
(330) 332-8801
Entity
Organization
Contact information
Practice address
2400 SOUTHEAST BLVD, SALEM, OH 44460-3481
(330) 332-8801
Mailing address
2400 SOUTHEAST BLVD, SALEM, OH 44460-3481
(330) 332-8801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2889/T1183
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339824
—
OH
Enumeration date
02/20/2008
Last updated
02/20/2008
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