Individual
DR. BRIAN ROBERT HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2015 W FOXWOOD DR, RAYMORE, MO 64083-9380
(816) 322-3039
Mailing address
4304 NE 57TH TER, KANSAS CITY, MO 64119-4681
(816) 452-8979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3258
MO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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