MEDICARE: JOHN E. HERR, M.D. A PROFESSIONAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1174642573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN E. HERR, M.D. A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	1701 N GREEN VALLEY PKWY STE 4C
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5886
Country	:	US
Telephone Number	:	702-435-3535
Fax Number	:	702-435-1324

Provider Business Practice Location Address
First Line	:	1701 N GREEN VALLEY PKWY STE 4C
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5886
Country	:	US
Telephone Number	:	702-435-3535
Fax Number	:	702-435-1324

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN E. HERR
Credential	:	M.D.
Telephone Number	:	702-435-3535

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	06/09/2020

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