# CRAIG WILLIAM HEISE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629398912
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | 45475 | AZ | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | MD221429 | OR | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | ME165028 | FL | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | U9545 | TX | — |
| 207Q00000X | Family Medicine Physician | 45475 | AZ | Yes |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | 45475 | AZ | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | MD221429 | OR | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | ME165028 | FL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | U9545 | TX | — |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 08/02/2024