Individual
RICHARD SCOTT HERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(541) 206-7254
Mailing address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(541) 206-7254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
105758
MN
207L00000X
Anesthesiology Physician
54442
MN
207L00000X
Anesthesiology Physician
Primary
M-13403
ID
207LP3000X
Pediatric Anesthesiology Physician
MD171345
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
04/06/2010
Last updated
01/15/2020
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