Individual
PAUL K HERICKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E PARK AVE STE 112, STATE COLLEGE, PA 16803-6706
(814) 865-3566
(814) 863-7803
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD460062
PA
Other
Enumeration date
06/25/2007
Last updated
07/21/2022
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