Individual
ELIZABETH HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-4150
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-4150
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0067748
CO
2085R0204X
Vascular & Interventional Radiology Physician
TL.0008272
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
05/28/2025
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