Gordon Leigh Heiss D.O.

NPI 1053330563 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1053330563
Gender Male
Enumeration Date 07/18/2006
Last Updated 03/15/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
5920 STATE HIGHWAY 812
OGDENSBURG NY, 13669-4301, US
Phone (315) 393-0735
Fax (315) 393-0927
Business Location
5920 STATE HIGHWAY 812
OGDENSBURG NY, 13669-4301, US
Phone (315) 393-0735
Fax (315) 393-0927
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 199696
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According to our database, Dr. Gordon Leigh Heiss D.O. NPI is 1053330563, taxonomy code is 207V00000X and license number is 199696, license state is located at New York. Gordon Leigh Heiss D.O. physically located at 5920 State Highway 812, Ogdensburg NY, 13669-4301. NPI Number Gordon Leigh Heiss D.O. has the Individual type.

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1053330563 NPI number is provided on an as is basis without warranty of any kind. 1053330563 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Leigh Heiss D.O. are for informational purposes only.