Individual
JAMES RUSSELL HEAP
Active
Individual
JAMES RUSSELL HEAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
11418
AZ
2083X0100X
Occupational Medicine Physician
186116
NY
2083X0100X
Occupational Medicine Physician
Primary
35.066738
OH
2083X0100X
Occupational Medicine Physician
G1672
TX
2083X0100X
Occupational Medicine Physician
G61540
CA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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