Individual
DUANE W HEINRICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6750 E BAYWOOD AVE, 301, MESA, AZ 85206-1749
(480) 835-6100
(480) 461-4261
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 835-6100
(480) 461-4261
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20569
AZ
207RI0011X
Interventional Cardiology Physician
Primary
20569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060061749
RAIL ROAD MEDICARE
AZ
05
—
363101
—
AZ
Enumeration date
03/07/2006
Last updated
06/08/2016
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