Individual
DAGOBERTO HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
346 MAINE ST STE 150, LAWRENCE, KS 66044-1393
(785) 841-7297
Mailing address
120 W 8TH ST, ONAGA, KS 66521-9574
(785) 841-7297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
08-00268
KS
Other
Enumeration date
07/10/2006
Last updated
07/21/2022
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