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Contact Information

JACQUES A HERZOG, MD
450 N NEW BALLAS RD
DEPT OTOLARYNGOLOGY, STE 140
SAINT LOUIS, MO63141-6859
 Phone: 314-362-7509
 Fax: 314-453-0561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JACQUES A HERZOG · (Male)

NPI # 1255330650
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2005
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # R7F68
  • MO Medicaid 202326427
Hospital affiliation(s)
  • BARNES-JEWISH WEST COUNTY HOSPITAL - (Acute Care)
    12634 OLIVE BOULEVARD
    CREVE COEUR, MO 63141
  • ST LUKES HOSPITAL - (Acute Care)
    232 S WOODS MILL RD
    CHESTERFIELD, MO 63017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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