Individual
JUSTIN HEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
(757) 510-9442
Mailing address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
(757) 510-9442
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0116030256
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101263422
VA
Other
Enumeration date
06/11/2014
Last updated
10/26/2023
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