Individual
BRYAN JEREMY HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 E 13TH ST, LOVELAND, CO 80537-5161
(970) 810-5675
(970) 810-1899
Mailing address
4802 PRAIRIE VISTA DR, FORT COLLINS, CO 80526-3779
(917) 974-0848
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DR.0072781
CO
Other
Enumeration date
03/18/2019
Last updated
08/14/2024
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