Individual
MIKAYLA BRITTNEY HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(480) 882-4809
Mailing address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(480) 882-4809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12071
NC
363A00000X
Physician Assistant
Primary
10597
AZ
363AM0700X
Medical Physician Assistant
9468
GA
Other
Enumeration date
10/22/2018
Last updated
05/21/2026
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