Organization
DELTA VEIN AND ARTERY CENTER, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L. HERZOG M. D. (PRESIDENT)
(662) 846-6034
Entity
Organization
Contact information
Practice address
810 E SUNFLOWER RD, SUITE 100 E, CLEVELAND, MS 38732-2800
(662) 846-6034
(662) 846-6260
Mailing address
810 E SUNFLOWER RD, SUITE 100 E, CLEVELAND, MS 38732-2800
(662) 846-6034
(662) 846-6260
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
09800
MS
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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