Individual
DR. STEPHEN HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3561
Mailing address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A15251
CA
208M00000X
Hospitalist Physician
Primary
20A15251
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2015
Last updated
09/01/2020
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