DR. BRIAN HERRBOLD, D.O.

Pediatrics

Active Individual
NPI: 1689650509

Practice Address

1241 W STADIUM BLVD
Jefferson City, MO 65109

Phone: (573) 556-7704

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 2004008549 (MO)

Frequently Asked Questions

NPI 1689650509 is the National Provider Identifier for DR. BRIAN HERRBOLD, D.O., a Pediatrics provider located in Jefferson City, MO. This NPI was enumerated on December 22, 2005.
DR. BRIAN HERRBOLD, D.O. practices at 1241 W STADIUM BLVD, Jefferson City, MO 65109.

Quick Facts

NPI
1689650509
Type
Individual
Enumerated
Dec 22, 2005
Last Updated
Jul 31, 2008

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