Doctor Name: | STEVEN LEE HERRING |
NPI Number: | 1508983727 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 943 Hualapai Way Peach Springs, AZ - 86434 |
Business Phone Number: | 9287692934 |
Business Fax Number: | |
Mailing Address: | 3374 Roma Rd, KINGMAN |
State: | AZ |
Postal Code: | 864010602 |
Phone Number: | 9286925980 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |