Individual
DR. MICHAEL HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4315 E MAIN STREET, MESA, AZ 85205-8605
(480) 870-7500
(480) 870-7502
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 315-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337785
—
AZ
Enumeration date
03/23/2007
Last updated
06/30/2023
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