Hazen Timothy Herzog, PHYSICIAN ASSISTANT
NPI #1932433190 in Coos Bay, Oregon
Provider Information
- NPI Number
- 1932433190
- Entity Type
- Individual
- Name
- Hazen Timothy Herzog, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Sep 21, 2009
- Last Updated
- Nov 8, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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