Individual
MR. DAVID HERIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
331 S MAIN ST, VIRGINIA, IL 62691-1519
(217) 452-3507
(217) 452-7245
Mailing address
331 S MAIN ST, VIRGINIA, IL 62691-1519
(217) 452-3507
(217) 452-7245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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