Individual
DR. LAURENCE BRETT HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 N ASSEMBLY ST, CREDENTIAL'S OFFICE, SPOKANE VA MEDICAL CENTER, SPOKANE, WA 99205-6185
(509) 434-7344
(509) 434-7195
Mailing address
4815 N ASSEMBLY ST, CREDENTIAL'S OFFICE, SPOKANE VA MEDICAL CENTER, SPOKANE, WA 99205-6185
(509) 434-7344
(509) 434-7195
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00040181
WA
Other
Enumeration date
08/20/2006
Last updated
03/25/2011
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