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Jackson Herzog
Diagnostic Radiology Physician in Mason City, Iowa
NPI 1033501010

Jackson Herzog is a Diagnostic Radiology Physician based in Mason City, IA and is specialized in Diagnostic Radiology. Jackson Herzog practices in Mason City, IA. The NPI Number for Jackson Herzog is 1033501010 and holds a License No. (Iowa).

The current practice location address for Jackson Herzog is 1416 6Th St Sw, Mason City, IA and can be reached out via phone at 641-424-0102.

Location: 1416 6Th St Sw, Mason City, IA, 50401-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033501010
Provider Name
Jackson Herzog
Credential
Provider Entity Type
Individual
Gender
Male
Address
1416 6Th St Sw, Mason City, IA, 50401-4818
Phone Number
641-424-0102
Fax Number
Provider Enumeration Date
02/26/2015
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
1416 6Th St Sw
City
Mason City
State
Iowa
Zip
50401-4818
Phone Number
641-424-0102
Fax Number
person
Provider Business Mailing Address Details
Address
1416 6Th St Sw
City
Mason City
State
Iowa
Zip
50401-4818
Phone Number
641-424-0102
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
52524 (Iowa)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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