Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60909611 | WA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD60909611 | WA |
NPI | 1134139595 |
---|---|
Provider Name | Dr. Marc William Herr |
First Address | Tacoma, WA 98405-4930 |
Second Address | Tacoma, WA 98405-4930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134139595 | (05) | WA |
2120946 | (05) | WA |