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Individual

BRENT L HERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00047365
WA
208M00000X
Hospitalist Physician
MD00047365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023715
WA
Enumeration date
02/28/2006
Last updated
08/06/2014
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