Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 12710 | OK |
NPI | 1023070356 |
---|---|
Provider Name | Richard E Herlihy |
First Address | Oklahoma City, OK 73120-8300 |
Second Address | Oklahoma City, OK 73120-8366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 19/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100088990A | (05) | OK |
202130641010 | BC/BS (01) | OK |
C95039 | (02) | OK |