Individual
RUSSELL R HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6860
Mailing address
2121 E HARMONY RD, SUITE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45563
CO
207RC0000X
Cardiovascular Disease Physician
45563
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
45563
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68237715
—
CO
Enumeration date
01/26/2007
Last updated
03/28/2016
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