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Individual

DR. CHRISTOPHER MARTIN HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8TH AVENUE & C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-1823
(801) 408-5196
Mailing address
753 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3054
(843) 284-3400
(843) 284-3401

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5632586-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5632586-1205
UT MEDICAL LICENSE
UT
Enumeration date
03/22/2006
Last updated
01/04/2008
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