Individual
JOHN HEUERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
4010 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87107-4532
(505) 220-2321
Mailing address
2724 VASSAR PL NE, ALBUQUERQUE, NM 87107-1869
(505) 220-2321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
730
NM
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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