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Individual

STEVEN G HEISS

Active
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Individual

STEVEN G HEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36430
KS
2085R0202X
Diagnostic Radiology Physician
17548
HI
2085R0202X
Diagnostic Radiology Physician
25135
NE
2085R0202X
Diagnostic Radiology Physician
Primary
37883
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025709000
NE
05
104715968
MI
05
1578537890
AL
05
1578537890
CA
05
1578537890
IA
05
1578537890
IL
05
1578537890
MT
05
1578537890
WY
05
1679513196
UT
05
19005725
CO
05
200428100A
KS
05
200503480 A
OK
01
300103952
RAILROAD MEDICARE RIA
CO
01
300114292
RAILROAD MEDICARE MIC
CO
05
84-059792913
NE
05
85228281
NM
05
927220
AZ
05
99112262
WI
Enumeration date
02/14/2006
Last updated
12/12/2022
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