Individual
RICHENDA DAWN HERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 E CLARK BASS BLVD, SUITE 301, MCALESTER, OK 74501-4282
(918) 421-6846
(918) 421-6875
Mailing address
2 E CLARK BASS BLVD, SUITE 301, MCALESTER, OK 74501-4282
(918) 421-6846
(918) 421-6875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31002
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168240B
—
KS
05
—
200568320A
—
OK
Enumeration date
12/14/2005
Last updated
02/24/2015
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