Individual
DR. AUNNA CANNON HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 SE PLAZA AVE, BENTONVILLE, AR 72712-3003
(479) 715-4645
(918) 579-5762
Mailing address
700 SE PLAZA AVE, BENTONVILLE, AR 72712-3003
(479) 715-4645
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4647
OK
207Q00000X
Family Medicine Physician
Primary
E11897
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200204840A
OSU ADJ
OK
05
—
200204840B
—
OK
01
—
200470610D
OSU-GROUP
OK
05
—
200505990B
—
OK
Enumeration date
07/27/2007
Last updated
01/28/2022
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