Individual
MONTY V HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-7735
(602) 685-6000
(602) 275-1355
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6132
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP3503
AZ
363LF0000X
Family Nurse Practitioner
AP3503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491097
—
AZ
Enumeration date
01/07/2010
Last updated
08/25/2016
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