| Doctor Name: | DR. RICHARD JOHN HERZIG |
| NPI Number: | 1922078443 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS010442L |
| Business Practice Address: | 1000 Dutch Ridge Rd Beaver, PA - 150099727 |
| Business Phone Number: | 7247734567 |
| Business Fax Number: | 7247289729 |
| Mailing Address: | 3582 Brodhead Rd, Suite 204 MONACA |
| State: | PA |
| Postal Code: | 150613142 |
| Phone Number: | 7247286539 |
| Fax Number: | 7247287416 |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS010442L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |