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Individual
AMBER SHARP HEISE
Active
Individual
AMBER SHARP HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12079
ND
208000000X
Pediatrics Physician
Primary
7293442-1205
UT
208000000X
Pediatrics Physician
A111138
CA
208000000X
Pediatrics Physician
M4143
TX
Other
Enumeration date
12/08/2006
Last updated
05/20/2014
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