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NPI Code Detail

MEDICARE: JOSEPH F HERMANN MD

MEDICARE: JOSEPH F HERMANN MD
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
1207Q00000XFamily Medicine Physician22592CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356401319
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH F HERMANN MD
Provider Business Mailing Address
First Line : 1555 S WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-6832
Country : US
Telephone Number : 303-985-1597
Fax Number : 303-985-2108
Provider Business Practice Location Address
First Line : 1555 S WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-6832
Country : US
Telephone Number : 303-985-1597
Fax Number : 303-985-2108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 10/16/2007

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