| Martha J. Herring, Md Pc | |
|
1605 E Broadway Suite 260 Columbia MO 65201-8023 | |
| (573) 815-8120 | |
| (573) 449-8183 |
| Full Name | Martha J. Herring, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1605 E Broadway, Columbia, Missouri |
| Authorized Official Name and Position | Martha J Herring (PHYSICIAN) |
| Authorized Official Contact | 5738158120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha J. Herring, Md Pc 4700 Forum Blvd Columbia MO 65203-5654 Ph: (573) 449-4936 | Martha J. Herring, Md Pc 1605 E Broadway Suite 260 Columbia MO 65201-8023 Ph: (573) 815-8120 |
| NPI Number | 1689623662 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689623662 | NPI | - | NPPES |
| 199366 | Other | MO | BLUE CROSS BLUE SHIELD |
| DE6831 | Other | MO | RAILROAD MEDICARE |
| 5000093505 | Medicaid | MO | |
| 720350 | Other | MO | HEALTHLINK PROVIDER NUMBE |
| G32075 | Other | MO | MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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