Individual
GEOFFREY GLENN HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807-5180
(417) 269-4646
Mailing address
PO BOX 239, LIMA, OH 45802-0239
(877) 221-2742
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2024006277
MO
Other
Enumeration date
04/02/2019
Last updated
05/13/2024
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