Provider Demographics
NPI:1972676575
Name:STEC, HEATHER M (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:STEC
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Gender:F
Credentials:MD
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Mailing Address - Street 1:12011 LEE JACKSON MEMORIAL HWY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3310
Mailing Address - Country:US
Mailing Address - Phone:703-391-2030
Mailing Address - Fax:703-273-3943
Practice Address - Street 1:12330 PINECREST RD
Practice Address - Street 2:SUITE 250
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1642
Practice Address - Country:US
Practice Address - Phone:703-476-1050
Practice Address - Fax:703-476-7126
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
VA0101233488207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101233488OtherSTATE LICENSE #
VA0101233488OtherSTATE LICENSE #
VAH 83021Medicare UPIN