Organization
ROBERT S. HERRICK M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STUART HERRICK M.D. (OPHTHALMOGIST)
(909) 820-4051
Entity
Organization
Contact information
Practice address
882 W RIALTO AVE, RIALTO, CA 92376-5658
(909) 820-4051
(909) 820-4053
Mailing address
882 W RIALTO AVE, RIALTO, CA 92376-5658
(909) 820-4051
(909) 820-4053
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C24395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C24395
—
CA
Enumeration date
11/11/2010
Last updated
12/07/2011
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