NPI

Darren T Herzog

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2009-08-21
Last updated
2025-02-06

Specialties

Licenses

License MT
MED-PHYS-LIC-50222
License MT
50222
License MI
4301092372
License MT
MED-PHYS-LIC-50222
License AZ
75684

Location

Practice location
107 E Oak Ave Ste 101
City
Flagstaff AZ
Postal code
86001-1818
Phone
(928) 779-7880

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Flagstaff, AZ. 3,111 records in the public file.

Removal request

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