Individual
JAMES T HEIBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 N ACADEMY BLVD, 106, COLORADO SPRINGS, CO 80909
(719) 638-4548
(719) 638-4571
Mailing address
1304 N ACADEMY BLVD, 106, COLORADO SPRINGS, CO 80909
(719) 638-4548
(719) 638-4571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24223
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242239
—
CO
01
—
080001911
R.R.MEDICARE
CO
Enumeration date
10/12/2006
Last updated
05/22/2008
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