Individual
MARTHA J. HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1605 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Mailing address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005017819
MO
208M00000X
Hospitalist Physician
Primary
2005017819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199366
BCBS
—
05
—
207578808
—
MO
01
—
720350
HEALTHLINK
—
01
—
P00308830
RAILROAD MEDICARE
MO
Enumeration date
08/12/2005
Last updated
08/08/2018
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