Individual
A R HERON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 S PATRICK ST, ALEXANDRIA, VA 22314-3534
(703) 549-2626
(703) 836-1043
Mailing address
321 S PATRICK ST, ALEXANDRIA, VA 22314-3534
(703) 549-2626
(703) 836-1043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00031092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069482
BCBS VA
VA
Enumeration date
12/20/2006
Last updated
07/09/2007
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