Individual
SAMANTHA P. HERRETES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3215 WINGATE CT STE 102, COLUMBIA, MO 65201-7689
(573) 884-3937
(573) 884-4868
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2018011188
MO
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
2018011188
MO
207WX0120X
Cornea and External Diseases Specialist Physician
04-42495
KS
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
2018011188
MO
Other
Enumeration date
05/23/2014
Last updated
01/14/2026
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