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Individual

DR. TAD REEVE HEINZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2960 N CIRCLE DR, SUITE 115, COLORADO SPRINGS, CO 80909-1163
(719) 578-1112
(719) 578-0128
Mailing address
2960 N CIRCLE DR, SUITE 115, COLORADO SPRINGS, CO 80909-1163
(719) 578-1112
(719) 578-0128

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
37801
CO
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
37801
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07551371
CO
Enumeration date
07/14/2005
Last updated
09/20/2011
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