Individual
DR. BARRY S HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9455 E MESETO AVE, MESA, AZ 85210
(317) 509-2225
Mailing address
9455 E MESETO AVE, MESA, AZ 85209-2258
(317) 509-2225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001707
IN
152W00000X
Optometrist
560
SC
152W00000X
Optometrist
Primary
95
AZ
Other
Enumeration date
04/03/2007
Last updated
09/19/2012
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