Individual
MARIA C. HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
(812) 602-3174
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4200
(812) 842-4227
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01054546A
IN
207V00000X
Obstetrics & Gynecology Physician
42534
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603333
ANTHEM
IN
05
—
200934360
—
IN
05
—
79937772
—
CO
01
—
P00657331
RAILROAD MEDICARE
IN
Enumeration date
10/28/2005
Last updated
09/09/2019
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