Individual
BRYN HEITZMAN SALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10670 WEXFORD ST, SAN DIEGO, CA 92131-3940
(858) 621-4010
(858) 621-4015
Mailing address
10670 WEXFORD ST, SAN DIEGO, CA 92131-3940
(858) 621-4010
(858) 621-4015
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A84721
CA
208000000X
Pediatrics Physician
44319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS8685096
FEDERAL NARCOTICS ID
CO
Enumeration date
10/10/2006
Last updated
06/26/2013
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