Dr Brian W Herrbold, DO | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 556-7704 | |
(573) 556-1714 |
Full Name | Dr Brian W Herrbold |
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Gender | Male |
Speciality | Pediatrics |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689650509 | NPI | - | NPPES |
208443408 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2004008549 (Missouri) | Primary |
Entity Name | Capital Region Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
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Dr Brian W Herrbold, DO Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-7704 | Dr Brian W Herrbold, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7704 |
Susan Stackelhouse Voss, Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 Fax: 573-632-5811 | |
Dr. Olakunle Joseph Oni, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 | |
Dr. William Busby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-8802 | |
Dr. George L Mcelroy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-8802 | |
Dr. Brian Conley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3348 American Ave, Jefferson City, MO 65109 Phone: 573-761-7210 Fax: 573-634-5990 | |
Dr. Autumn A Han, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 | |
Dr. Aimee Michelle Lorenz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5525 Fax: 573-632-5811 |