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1730143785
TRAVIS JOHN HEINING
SAN JOSE, CA
NPI
1730143785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A86894)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
-- TRAVIS JOHN HEINING MD
751 S BASCOM AVE EMERGENCY DEPARTMENT
SAN JOSE, CA 95128-2604
Phone number: 408-885-6900
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Mailing Address
-- TRAVIS JOHN HEINING MD
416 ALTA AVE
SANTA CRUZ, CA 95060
Phone number: 831-427-0547
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