Individual
FREDERICK ELLISON HERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5133 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-1438
(602) 264-1818
(602) 264-2172
Mailing address
5133 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-1438
(602) 264-1818
(602) 264-2172
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301104129
MI
Other
Enumeration date
05/15/2009
Last updated
08/12/2013
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