Doctor Name: | TODD CHRISTOPHER HERMAN |
NPI Number: | 1063788875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 46224 |
Business Practice Address: | 10474 W Thunderbird Blvd Ste 200 Sun City, AZ - 853513015 |
Business Phone Number: | 8669742673 |
Business Fax Number: | 8669392673 |
Mailing Address: | 18444 N 25th Ave, Ste 310 PHOENIX |
State: | AZ |
Postal Code: | 850231266 |
Phone Number: | 8669742673 |
Fax Number: | 8669392673 |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 46224 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |