JESSICA L HERZOG, DPM, Surgery, Foot & Ankle CASTLE ROCK, CO

Contact Information

JESSICA L HERZOG, DPM

2352 MEADOWS BLVD STE 270
CASTLE ROCK, CO 80109

Phone: 303-814-1082
Fax: 303-814-0020
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JESSICA L HERZOG · (Female)

NPI Number	`1609044585`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	02/13/2008
Last updated	11/10/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	CO License # 73308 CO Medicaid 18080073
Hospital affiliation(s)	CASTLE ROCK ADVENTIST HOSPITAL - (Acute Care) 2350 MEADOWS BLVD CASTLE ROCK, CO 80109

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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