Individual
HEIDI GOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5231 JOHN TYLER HWY, WILLIAMSBURG, VA 23185-2553
(757) 220-8300
(757) 565-5337
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239020
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427012251
—
VA
Enumeration date
04/17/2006
Last updated
01/22/2008
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