Individual
DR. THOMAS JOHN HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
Mailing address
910 E GREEN AVE, GALLUP, NM 87301-5515
(505) 879-6169
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000 G2604
—
NM
05
—
593865
—
AZ
Enumeration date
11/09/2006
Last updated
03/17/2018
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