Individual
DR. JAVIER HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21616 76TH AVE W STE 201A, EDMONDS, WA 98026-7512
(425) 673-3400
(425) 673-3401
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60921397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274288800
—
FL
01
—
291561
AVMED
—
01
—
37343
BCBS FL
—
01
—
7624216
AETNA
—
01
—
8787152
CIGNA
—
05
—
888800500C
—
GA
Enumeration date
05/03/2006
Last updated
08/02/2019
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