Individual
DR. MICHAEL RILEY HEAPHY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4814 SPARKS BLVD, SPARKS, NV 89436
(775) 324-0699
(775) 323-6814
Mailing address
640 W MOANA LN, RENO, NV 89509-4903
(775) 324-0699
(775) 323-6814
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME97172
FL
207ND0900X
Dermatopathology Physician
Primary
17674
NV
207ND0900X
Dermatopathology Physician
35.088653
OH
207ND0900X
Dermatopathology Physician
ME97172
FL
207ZD0900X
Dermatopathology (Pathology) Physician
T4386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB222U
MEDICARE PTAN
FL
Enumeration date
09/20/2006
Last updated
12/20/2021
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