Individual
DR. DARREN T HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 E OAK AVE STE 101, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
(928) 779-7895
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301092372
MI
207X00000X
Orthopaedic Surgery Physician
50222
MT
207X00000X
Orthopaedic Surgery Physician
Primary
75684
AZ
207X00000X
Orthopaedic Surgery Physician
MED-PHYS-LIC-50222
MT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MED-PHYS-LIC-50222
MT
Other
Enumeration date
08/21/2009
Last updated
02/06/2025
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