Individual
TOM M. HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018
NV
208M00000X
Hospitalist Physician
Primary
11018
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11647714
CAQH
—
05
—
1295708345
—
NV
01
—
P00195508
RAILROAD MEDICARE
NV
Enumeration date
02/09/2006
Last updated
12/15/2017
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