Individual
RICHARD G. HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 376-1939
(740) 374-1693
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-003055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050544000
—
OH
05
—
0523795
—
OH
Enumeration date
06/23/2006
Last updated
02/20/2015
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