Herrald, Gordon A

Herrald, Gordon A is an sole proprietor health care provider with primary practice located at 22102 E Quarto Pl , Aurora CO 80016-7020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Herrald, Gordon A can be contacted via phone (303) 617-3062.

Contact Information

Primary practice address
22102 E Quarto Pl Aurora CO 80016-7020
Phone: (303) 617-3062
Fax: (303) 617-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19642 Colorado

Profile Details

NPI number 1619965779
LBN Legal business name Herrald, Gordon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Oct 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619965779 NPPES
Colorado MEDICAID 73807524

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