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Individual

MARIA MILDRED HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1750 E KEN PRATT BLVD FL 3, LONGMONT, CO 80504-5311
(970) 810-2026
(970) 810-2028
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-2026
(970) 810-2028

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DR.0056839
CO
207RP1001X
Pulmonary Disease Physician
Primary
DR.0056839
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11185058
CO
Enumeration date
04/08/2010
Last updated
04/10/2018
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