Individual
NANCY CLARE HERIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2339 AUBURN AVE, BAKER CITY, OR 97814-3831
(541) 524-9490
(541) 524-9491
Mailing address
2339 AUBURN AVE, BAKER CITY, OR 97814-3831
(541) 524-9490
(541) 524-9491
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M.D.14304
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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