Provider Demographics
NPI:1003869330
Name:HERMAN, PAUL D (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:HERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1995 ERRECART BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8334
Mailing Address - Country:US
Mailing Address - Phone:775-777-2210
Mailing Address - Fax:775-777-1113
Practice Address - Street 1:1995 ERRECART BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8334
Practice Address - Country:US
Practice Address - Phone:775-777-2210
Practice Address - Fax:775-777-1113
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2011-07-27
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Provider Licenses
StateLicense IDTaxonomies
NV9637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV203419640OtherTAX ID NUMBER
NV203419640OtherTAX ID NUMBER