Organization
LARRY D HERRON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DONALD HERRON MD (PRESIDENT)
(805) 541-4700
Entity
Organization
Contact information
Practice address
1304 ELLA ST STE B, SAN LUIS OBISPO, CA 93401-4166
(805) 541-4700
(805) 541-4713
Mailing address
1304 ELLA ST STE B, SAN LUIS OBISPO, CA 93401-4166
(805) 541-4700
(805) 541-4713
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G25538
CA
Other
Enumeration date
10/18/2007
Last updated
02/03/2020
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