Individual
AMILDA HECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34061 FOREST PARK DR, ELIZABETH, CO 80107-7842
(303) 646-4071
(303) 646-0908
Mailing address
PO BOX 1272, ELIZABETH, CO 80107-1272
(720) 318-7014
(303) 646-4342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129599-7
—
CO
Enumeration date
09/15/2006
Last updated
03/31/2016
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