Individual
DR. RICHARD J HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1637071205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11017608
UNION PACIFIC RAILROAD
UT
01
—
15032
IHC
UT
Enumeration date
06/13/2005
Last updated
11/25/2020
Update your record
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