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NPI Code Detail

MEDICARE: MR. APRIL STARR HERD PA-C

MEDICARE:  MR. APRIL STARR HERD  PA-C
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
1363A00000XPhysician Assistant16761CA
2363AM0700XMedical Physician Assistant16761CA

General Provider Information

NPI Number : 1811093826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. APRIL STARR HERD PA-C
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7085 N CHESTNUT AVE STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93720-0353
Country : US
Telephone Number : 559-323-9236
Fax Number : 559-323-0294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 11/01/2022

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Directions to “ MR. APRIL STARR HERD PA-C” Practice Location

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