Individual
MR. BRIAN HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC, NMT
Contact information
Practice address
451 TAVERN CREEK RD, IBERIA, MO 65486-9193
(573) 480-1921
Mailing address
PO BOX 363, CAMDENTON, MO 65020
(573) 480-1921
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
09/07/2016
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