Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAZEN TIMOTHY HERZOG, PHYSICIAN ASSISTANT
ActiveHAZEN TIMOTHY HERZOG, PHYSICIAN ASSISTANT is a Surgical Physician Assistant healthcare provider located in COOS BAY, Oregon. NPI 1932433190 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · COOS BAY, OR
Registration Details
- NPI Number
- 1932433190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2009 (16.860671161497 yrs)
- Last Updated
- Nov 8, 2013
- Licenses
-
7462373-1206 (UT)PA152638 (OR)
Practice Information
- Address
-
1900 WOODLAND DRCOOS BAY, OR, 974202045Browse OR providers · Browse ZIP 97420
- Phone
- 5412675151
- Fax
- 5412664501
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER HALES RIEHL | PA-C | 1700112646 |
| BENJAMIN VAL CHU | PA-C | 1326390121 |
| MATTHEW E CORNIA | PA-C | 1548705585 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.