SearchCalifornia1223G0001X

Gary Herron

NPI 1700506821 · on the registry since 2022

Practice

Address
171 Inner Loop Road
Fort Irwin, CA 92310
Phone
(915) 742-2685
Clinicians at this address
12

Additional practice sites

  • Dentac Bldg 128, Fort Bliss, TX

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-13

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 California