Individual
HEATHER HEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5703
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
4848
OK
363A00000X
Physician Assistant
2634
CO
363AM0700X
Medical Physician Assistant
PA.0002634
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31152856
—
CO
Enumeration date
07/17/2008
Last updated
10/14/2022
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