DR. LARRY IRA HEISS MD NPI 1629192687

NPI Information

DR. Larry Ira Heiss, MD is a family medicine in Fort Bragg, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Larry Ira Heiss, MD NPI is 1629192687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 SOUTH ST
FORT BRAGG, CA
ZIP 95437-540
Phone: (707) 964-1251
Fax: (707) 961-2722

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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