Individual
DR. BRYAN R HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 MAIN ST, SUITE 200, PRINCE FREDERICK, MD 20678-3189
(410) 414-9840
(410) 414-9841
Mailing address
497 MAIN ST, SUITE 200, PRINCE FREDERICK, MD 20678-3189
(410) 414-9840
(410) 414-9841
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D51875
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KCZP
BCBS MD
MD
Enumeration date
07/24/2006
Last updated
01/28/2015
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