Organization Name: | JEFFREY W. HERROLD, M. D., P.A. |
NPI Number: | 1700914694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY W. HERROLD (OWNER) |
Mailing Address: | 135 Medical Park Pl Hot Springs |
State: | AR US |
Postal Code: | 719018099 |
Phone Number: | 5016232500 |
Fax Number: | 5016235155 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C6620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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. |