Individual
GARY S HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5010
(417) 820-5022
Mailing address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5010
(417) 820-5022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009022339
MO
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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