Individual
DR. GEOFFREY R HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
274 3RD ST, BEAVER, PA 15009-2333
(724) 775-2112
(724) 775-2131
Mailing address
274 3RD ST, BEAVER, PA 15009-2333
(724) 775-2112
(724) 775-2131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD026909E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010040690004
—
PA
Enumeration date
09/26/2005
Last updated
05/02/2014
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