Herron, Monty V

Herron, Monty V is an individual health care provider with primary practice located at 4909 E Mcdowell Rd , Phoenix AZ 85008-7735. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Herron, Monty V can be contacted via phone (602) 685-6000.

Contact Information

Primary practice address
4909 E Mcdowell Rd Phoenix AZ 85008-7735
Phone: (602) 685-6000
Fax: (602) 275-1355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3503 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP3503 Arizona

Profile Details

NPI number 1629308051
LBN Legal business name Herron, Monty V
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2010
Last updated Aug 25th, 2016 - about 10 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 1629308051 NPPES
Arizona MEDICAID 491097

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