Individual
DR. PAUL V HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10105 BANBURRY CROSS DR, SUITE 250, LAS VEGAS, NV 89144-6646
(702) 360-7600
(702) 363-3814
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3356
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3718
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417904350
—
NV
Enumeration date
05/27/2006
Last updated
11/07/2012
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