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Individual

BRIAN F HERBST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
234 GOODMAN ST., ML 670, CINCINNATI, OH 45219-2316
(513) 558-7581
(513) 558-4399
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-123701
OH
208000000X
Pediatrics Physician
35-123701
OH
390200000X
Student in an Organized Health Care Education/Training Program
4301094227
MI

Other

Enumeration date
07/13/2009
Last updated
08/08/2017
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