Individual
DR. JESSICA LEIGH HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2352 MEADOWS BLVD STE 270, CASTLE ROCK, CO 80109
(303) 814-1082
(303) 814-0020
Mailing address
PO BOX 639, CASTLE ROCK, CO 80104-0639
(303) 814-1082
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
73308
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18080073
—
CO
Enumeration date
02/13/2008
Last updated
11/10/2022
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