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HAZEN HERZOG, PHYSICIAN ASSISTANT

PHYSICIAN ASSISTANT

NPI: 1932433190IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

7462373-1206(UT)
Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

PA152638(OR)

CMS Specialties

Education

OTHER

Class of 2009

Contact & Hours

Address
1900 WOODLAND DR
COOS BAY, OR 97420

Quick Facts

NPI
1932433190
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
17

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