Individual
HENRY M HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E 3RD AVE, SUITE 104, DURANGO, CO 81301-5016
(970) 247-0777
(970) 247-0902
Mailing address
1800 E 3RD AVE, SUITE 104, DURANGO, CO 81301-5016
(970) 247-0777
(970) 247-0902
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
22830
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01228303
—
CO
01
—
CG3935
RAILROAD MEDICARE
CO
01
—
CG8308
MEDICARE ID-TYPE UNSPECIF
CO
05
—
U0386
—
NM
Enumeration date
07/14/2005
Last updated
03/12/2008
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