Dale D Heaston OD

NPI 1003924374 - Optometrist - 152W00000X

NPI Details
NPI 1003924374
Gender Male
Enumeration Date 08/28/2006
Last Updated 02/07/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
RICHLAND WA, 99352-4678, US
Phone (509) 943-3171
Fax (509) 946-0905
Business Location
PO BOX 610
RICHLAND WA, 99352-4678, US
Phone (509) 943-3171
Fax (509) 946-0905
Taxonomy Code 152W00000X
License State Washington
License Number 1129
Remove 1003924374 NPI Number

According to our database, Dale D Heaston OD NPI is 1003924374, taxonomy code is 152W00000X and license number is 1129, license state is located at Washington. Dale D Heaston OD physically located at 1321 Aaron Dr, Richland WA, 99352-4678. NPI Number Dale D Heaston OD has the Individual type.

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1003924374 NPI number is provided on an as is basis without warranty of any kind. 1003924374 is maintained by the National Plan & Provider Enumeration System. The contents of Dale D Heaston OD are for informational purposes only.