Individual
DR. VIRGLE O. HERRIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 625-1292
(575) 624-4836
Mailing address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 625-1292
(575) 624-4836
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
80-44
NM
207P00000X
Emergency Medicine Physician
MD203548
LA
207P00000X
Emergency Medicine Physician
ME107006
FL
207Q00000X
Family Medicine Physician
80-44
NM
208D00000X
General Practice Physician
Primary
80-44
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015068
—
NM
Enumeration date
11/10/2005
Last updated
04/11/2022
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