Individual
THOMAS RANDAL HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1 HOAG DR, DEPARTMENT OF PATHOLOGY, NEWPORT BEACH, CA 92663-4162
(949) 764-5610
Mailing address
19111 CROYDEN TER, IRVINE, CA 92603-3504
(949) 854-3397
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G32045
CA
Other
Enumeration date
07/22/2007
Last updated
07/22/2007
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