Organization
MARTHA J. HERRING, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA J HERRING MD (PHYSICIAN)
(573) 815-8120
Entity
Organization
Contact information
Practice address
1605 E BROADWAY, SUITE 260, COLUMBIA, MO 65201-8023
(573) 815-8120
(573) 449-8183
Mailing address
4700 FORUM BLVD, COLUMBIA, MO 65203-5654
(573) 449-4936
(573) 449-6795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199366
BLUE CROSS BLUE SHIELD
MO
05
—
5000093505
—
MO
01
—
720350
HEALTHLINK PROVIDER NUMBE
MO
01
—
DE6831
RAILROAD MEDICARE
MO
01
—
G32075
MERCY
MO
Enumeration date
05/08/2006
Last updated
10/23/2007
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