Individual
MISS ELIZABETH A HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 SAINT ANTHONYS WAY, SUITE 205, ALTON, IL 62002-4569
(618) 465-8019
(618) 463-5004
Mailing address
PO BOX 9040, ALTON, IL 62002-9040
(618) 462-0499
(618) 462-1150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002576
IL
Other
Enumeration date
08/23/2006
Last updated
09/20/2012
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