Richard A Herrmann, MD

Individual provider Active NPI Urology Physician · Morrison, CO

NPI 1972850352 · NPPES record last updated Aug 5, 2012

Key facts

NPI
1972850352
Entity type
Individual (NPI type 1)
Primary specialty
Urology Physician 208800000X
License
16144-20 (WI)
Practice address
16590 Red Cliff Cir
Morrison, CO 80465-2172
Phone
(239) 592-6987
NPI assigned
Aug 5, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16144-20WIMDUrology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 16144-20 WI Yes

Addresses

Primary practice location

16590 Red Cliff Cir
Morrison, CO 80465-2172

Mailing address

16590 Red Cliff Cir
Morrison, CO 80465-2172
Phone (239) 592-6987

Other providers in Morrison, CO

All providers in Morrison, CO · Urology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.