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1902963614
ROBERT HERZOG
CARBONDALE, IL
NPI
1902963614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-002116)
Enumeration Date
2007-01-02
Last Update Date
2023-10-13
Business Address
Mr. ROBERT HERZOG PA
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
Mr. ROBERT HERZOG PA
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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