Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 0101045578 | VA |
NPI | 1174580583 |
---|---|
Provider Name | Dr. Howard P Heppe |
First Address | Fredericksburg, VA 22401-3000 |
Second Address | Fredericksburg, VA 22401-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6908065 | (05) | VA |
E10255 | (02) | VA |