| Doctor Name: | DR. HERMAN AUBRY TALLEY |
| NPI Number: | 1093786055 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | C4536 |
| Business Practice Address: | 403 W Oak Ste 101 El Dorado, AR - 71730 |
| Business Phone Number: | 8708620150 |
| Business Fax Number: | 8708625063 |
| Mailing Address: | 403 W Oak, Ste 101 EL DORADO |
| State: | AR |
| Postal Code: | 71730 |
| Phone Number: | 8708620150 |
| Fax Number: | 8708625063 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | C4536 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |