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Individual

STEPHEN M. HEINZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 S POTOMAC ST STE 110, AURORA, CO 80012-4514
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25223
CO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
25223
CO
207Q00000X
Family Medicine Physician
Primary
25223
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01252238
CO
Enumeration date
11/28/2005
Last updated
12/19/2018
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