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Contact Information

AMBER S HEISE, MD
4745 S 3200 W
TAYLORSVILLE, UT84129-2822
 Phone: 801-964-6124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMBER S HEISE · (Female)

NPI # 1013077478
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2006
Last updated 05/20/2014 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A111138
  • ND License # 12079
  • TX License # M4143
  • UT License # 7293442-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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