Provider Demographics
NPI:1841560273
Name:HEPPNER, DONALD GRAY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GRAY
Last Name:HEPPNER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 HALF MILE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-3306
Mailing Address - Country:US
Mailing Address - Phone:703-598-1940
Mailing Address - Fax:
Practice Address - Street 1:1041 HALF MILE BRANCH RD
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-3306
Practice Address - Country:US
Practice Address - Phone:703-598-1940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101252854207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease