LARRY IRA HEISS

FORT BRAGG, CA
NPI1629192687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G28236)
Enumeration Date2007-03-16
Last Update Date2014-08-11
Business Address
Dr. LARRY IRA HEISS MD
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-964-1251
Mailing Address
Dr. LARRY IRA HEISS MD
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-964-1251
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