Individual
JUDY W. HERTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE CHILDREN'S PLAZA, CHILDREN'S ANESTHESIA GROUP, INC., DAYTON, OH 45404-1815
(937) 641-3350
(937) 641-6145
Mailing address
ONE CHILDREN'S PLAZA, CHILDREN'S ANESTHESIA GROUP, INC., DAYTON, OH 45404-1815
(937) 641-3350
(937) 641-6145
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.055979
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.055979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541690
ANTHEM
OH
05
—
0860359
—
OH
Enumeration date
02/09/2006
Last updated
12/22/2014
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