Individual
DR. WILLIAM LENOX HEIMER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 SANTA FE DRIVE, SUITE 310, ENCINITAS, CA 92024-5138
(760) 944-7000
(760) 944-1556
Mailing address
320 SANTA FE DR, SUITE 310, ENCINITAS, CA 92024-5138
(760) 944-7000
(760) 944-1556
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G85498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G854980
BLUE CROSS/BLUE SHIELD
—
01
—
330900346
TRICARE
—
Enumeration date
08/30/2006
Last updated
03/19/2014
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