Individual
ALYSIA COURTOT HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4850 E MAIN ST, COLUMBUS, OH 43213-3194
(614) 566-0950
(614) 566-0766
Mailing address
5450 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35079435
OH
Other
Enumeration date
11/19/2005
Last updated
01/05/2022
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