Individual
MR. JAMES HERZOG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
1104 W GLENHAVEN DR, PHOENIX, AZ 85045-0733
(480) 706-9430
(480) 461-0945
Mailing address
1104 W GLENHAVEN DR, PHOENIX, AZ 85045-0733
(480) 706-9430
(480) 461-0945
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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