Provider Demographics
NPI:1164539110
Name:HEBERT, HAROLD J III (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:J
Last Name:HEBERT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-340-3911
Mailing Address - Fax:760-837-8876
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-340-3911
Practice Address - Fax:760-837-8876
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2022-06-23
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Provider Licenses
StateLicense IDTaxonomies
LA200911207L00000X
GA059166207L00000X
CAC179089207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology