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Individual

DR. STEVE M HEILBRUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
294 STATE ROUTE 89A, SUITE 107, COTTONWOOD, AZ 86326-3763
(928) 634-1331
(928) 634-3130
Mailing address
1200 NORTH BEAVER STREET, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
40553
AZ
207RI0011X
Interventional Cardiology Physician
038252E
PA
207RI0011X
Interventional Cardiology Physician
Primary
40553
AZ
207RI0011X
Interventional Cardiology Physician
49527
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12188574
CAQH
AZ
05
716542
AZ
05
91985587
CO
Enumeration date
05/27/2005
Last updated
12/18/2015
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