NPI 1912035221
Jessica Lauren Madert Herzog, MD
Practice location
- Address
- 3397 N 1200 E STE 103, Lehi, UT 84043-3262
- Phone
- (801) 797-0877
- Fax
- (801) 290-8141
Registered specialties (4)
General Practice Physician
Primary
Pediatrics Physician
Pediatrics Physician
General Practice Physician
Registry record
- NPI
- 1912035221
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Feb 2007
- Record last updated
- 18 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.