Organization
JOHN HEINE M.D. & MARK AVON M.D. PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P HEINE M.D. (PARTNER)
(510) 793-3505
Entity
Organization
Contact information
Practice address
1999 MOWRY AVE STE 2M, FREMONT, CA 94538-1706
(510) 793-3505
(510) 793-4799
Mailing address
1999 MOWRY AVE STE 2M, FREMONT, CA 94538-1706
(510) 793-3505
(510) 793-4799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A24518
CA
Other
Enumeration date
05/07/2007
Last updated
05/26/2015
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