Organization
WILLIAM J HERRMANN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J HERRMANN MD (MEDICAL DOCTOR)
(928) 425-2474
Entity
Organization
Contact information
Practice address
5882 S HOSPITAL DR, SUITE 1, GLOBE, AZ 85501
(928) 425-2474
(928) 425-2383
Mailing address
PO BOX 3955, COTTONWOOD, AZ 86326-2610
(928) 639-2090
(928) 639-0167
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
EMC ID
AZ
01
—
03D104165
CLIA LAB
AZ
01
—
288458
AHCCCS
AZ
Enumeration date
07/24/2007
Last updated
11/13/2007
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