Individual
DR. COREY REGAN HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WYOMING ST, MEDICAL EDUCATION, MVH, DAYTON, OH 45409-2722
(937) 208-3844
Mailing address
1 WYOMING ST, MEDICAL EDUCATION, MVH, DAYTON, OH 45409-2722
(937) 208-3844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2007-00394
NC
207P00000X
Emergency Medicine Physician
35.091255
OH
Other
Enumeration date
05/04/2007
Last updated
07/02/2008
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