# DR. GREGORY HELLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275761991
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 0102206528 | VA | — |
| 207Q00000X | Family Medicine Physician | 006017 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | R1704 | AZ | — |

## Other

- **Enumeration date:** 07/01/2009
- **Last updated:** 04/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | R1704 | TRAINING PERMIT | AZ |