SearchArizona343900000X

Paul Herren

NPI 1225674609 · on the registry since 2019 · sole proprietor

Practice

Address
2543 Citrus Ln
Lake Havasu City, AZ 86403
Phone
(928) 412-3847

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
347C00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona