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Individual

ERIK C HEINZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2055 HIGH ST, #130, DENVER, CO 80205-5504
(303) 861-2663
(303) 861-4741
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 861-2663
(303) 861-4741

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2030
CO
363AS0400X
Surgical Physician Assistant
489
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00774545
CO
05
125465100
WY
05
1689761736
SD
05
200743780A
KS
Enumeration date
10/09/2006
Last updated
01/10/2013
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