Individual
DR. LATRECIA M HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 N CAMINO MERCADO, SUITE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(520) 836-6998
Mailing address
560 N CAMINO MERCADO, SUITE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(520) 836-6998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34157
AZ
208000000X
Pediatrics Physician
34157
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972613
—
AZ
Enumeration date
09/22/2005
Last updated
02/23/2010
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