Individual
DR. ROBERTO HERRERA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01087778A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00416541
RAILROAD MEDICARE
IN
Enumeration date
03/29/2011
Last updated
02/13/2023
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