Individual provider · Type 1 NPI

Agustin Peralta Herber Ii, DO

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1295430171 Active

Practice location

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837

Call (602) 521-5969 Map

Fax (602) 521-5987

Mailing address

11369 W Folsom Point Dr
Marana, AZ 85658-4935

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295430171

Agustin Peralta Herber Ii, DO's National Provider Identifier is 1295430171, issued on Mar 31, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 31, 2023.