Individual
DR. CRESTON C HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6375 MERCURY DR, SUITE 200, MECHANICSBURG, PA 17050-5282
(717) 620-2500
(717) 620-2511
Mailing address
6375 MERCURY DR, SUITE 200, MECHANICSBURG, PA 17050-5282
(717) 620-2500
(717) 620-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024004E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008570340003
—
PA
Enumeration date
09/23/2005
Last updated
04/22/2010
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