Individual
OCTAVIO HERRERA-VERDUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 BRECKENRIDGE DR STE 110, LITTLE ROCK, AR 72205-1565
(501) 391-1741
(501) 421-3802
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 593-8460
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E-3534
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-3534
AR
Other
Enumeration date
09/14/2015
Last updated
10/23/2018
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