Individual
EDWARD P. HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 W FOREST AVE, SUITE 101, FLAGSTAFF, AZ 86001-1482
(928) 773-2515
(928) 773-2240
Mailing address
DEPT 2018, PO BOX 29675, PHOENIX, AZ 85038-9675
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266214
—
AZ
01
—
AZ0048350
BCBS
AZ
Enumeration date
05/23/2006
Last updated
04/07/2011
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