Individual
RICHARD S HERDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 S COWLEY ST STE 201, SPOKANE, WA 99202-1332
(509) 252-1299
Mailing address
2706 S THIERMAN LN, SPOKANE, WA 99223-5057
(509) 456-8444
(509) 455-9227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00023695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030170
—
WA
01
—
O1942
MEDICARE PTAN
FL
Enumeration date
02/22/2006
Last updated
09/27/2024
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