BRIAN W. HERRBOLD

JEFFERSON CITY, MO
NPI1689650509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  2004008549)
Enumeration Date2005-12-22
Last Update Date2008-07-31
Business Address
Dr. BRIAN W. HERRBOLD D.O.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7704
Mailing Address
Dr. BRIAN W. HERRBOLD D.O.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-556-7704