Organization
BARRY S HERNDON OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY S HERNDON OD (MEMBER/OWNER)
(317) 509-2225
Entity
Organization
Contact information
Practice address
240 W BASELINE RD, MESA, AZ 85210
(317) 509-2225
Mailing address
545 W RANCH RD, CHANDLER, AZ 85225-7058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
95
AZ
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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