ROBERT HERZOG

CARBONDALE, IL
NPI1902963614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002116)
Enumeration Date2007-01-02
Last Update Date2023-10-13
Business Address
Mr. ROBERT HERZOG PA
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
Mailing Address
Mr. ROBERT HERZOG PA
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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