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Individual

DR. LUKE JOSHUA HEITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
(801) 840-2000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 840-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11539241-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036135177
IL
Enumeration date
07/18/2011
Last updated
01/28/2021
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