Individual provider · Type 1 NPI

Jody Brooke Herron, PA-C

Medical Physician Assistant · Flagstaff, AZ

NPI number 1811538507 Active

Practice location

3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972

Call (928) 774-7106 Map

Mailing address

PO Box 2277
Flagstaff, AZ 86003-2277

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1811538507

Jody Brooke Herron, PA-C's National Provider Identifier is 1811538507, issued on Oct 3, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flagstaff, AZ. The record was last updated on Oct 3, 2019.