IndividualActive
Jacques Herzog, MD
NPI 1255330650 · Otology & Neurotology Physician · Saint Louis, MO
Provider details
- NPI number
- 1255330650
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R7F68 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
450 N New Ballas Rd
Dept Otolaryngology, Ste 140
Saint Louis, MO 63141-6859
Phone: (314) 362-7509
Fax: (314) 453-0561
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2025-04-17
- Certified
- 2021-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.