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Individual

ERIC M HEINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
801 BROADWAY, STE 300, SEATTLE, WA 98122-4396
(206) 215-3500
(206) 215-6499
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
024232
LA
208600000X
Surgery Physician
MD.024232
LA
208600000X
Surgery Physician
Primary
MD00046709
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09633591
MS
05
1577235
LA
05
7009911
LA
Enumeration date
11/25/2005
Last updated
05/25/2021
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