Individual
MR. JEFFREY ROGER HERCHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APA-C
Contact information
Practice address
310 W LOSEY ST, SCOTT AIR FORCE BASE, IL 62225-5250
(618) 256-5203
(618) 256-7603
Mailing address
310 W LOSEY ST, SCOTT AIR FORCE BASE, IL 62225-5250
(618) 256-5203
(618) 256-7603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006005
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/02/2010
Last updated
01/27/2026
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