Individual
DR. LARRY HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3685
(812) 885-3917
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3685
(812) 885-3917
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01022191A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569483
ANTHEM
IN
05
—
100155040
—
IN
01
—
P00477831
RAILROAD MEDICARE
IN
Enumeration date
09/27/2006
Last updated
01/21/2009
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