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Mr. Justin Dwain Herman, HIS
Specialist in Poplar Bluff, Missouri
NPI 1124343595

Justin Dwain Herman is a Specialist based in Poplar Bluff, MO. Justin Dwain Herman practices in Poplar Bluff, MO and has the professional credentials of HIS. The NPI Number for Justin Dwain Herman is 1124343595 and holds a License No. 2010008593 (Missouri).

The current practice location address for Justin Dwain Herman is 926 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-778-0501 and via fax at 573-727-9411.

Location: 926 N Westwood Blvd, Poplar Bluff, MO, 63901-4242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124343595
Provider Name
Justin Dwain Herman
Credential
HIS
Provider Entity Type
Individual
Gender
Male
Address
926 N Westwood Blvd, Poplar Bluff, MO, 63901-4242
Phone Number
573-778-0501
Fax Number
573-727-9411
Provider Enumeration Date
03/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
926 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-4242
Phone Number
573-778-0501
Fax Number
573-727-9411
person
Provider Business Mailing Address Details
Address
926 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-4242
Phone Number
573-778-0501
Fax Number
573-727-9411
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2010008593 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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