Provider Demographics
NPI:1477615201
Name:GROSSMAN, HERBERT M (MD)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:M
Last Name:GROSSMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4525 E SKYLINE DR
Mailing Address - Street 2:SUITE #125
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1666
Mailing Address - Country:US
Mailing Address - Phone:520-742-7724
Mailing Address - Fax:520-299-6577
Practice Address - Street 1:4525 E SKYLINE DR
Practice Address - Street 2:SUITE #125
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-1666
Practice Address - Country:US
Practice Address - Phone:520-742-7724
Practice Address - Fax:520-299-6577
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2012-11-29
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Provider Licenses
StateLicense IDTaxonomies
AZ198362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry