Daniel Paul Heatherly D.O.

NPI 1194050716 - Pediatrics - 208000000X

NPI Details
NPI 1194050716
Gender Male
Enumeration Date 10/15/2009
Last Updated 05/17/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
919 2ND ST NE
CANTON OH, 44704-1132, US
Phone (330) 453-3386
Fax
Business Location
919 2ND ST NE
CANTON OH, 44704-1132, US
Phone (330) 453-3386
Fax
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 010769
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According to our database, Dr. Daniel Paul Heatherly D.O. NPI is 1194050716, taxonomy code is 208000000X and license number is 010769, license state is located at Ohio. Daniel Paul Heatherly D.O. physically located at 919 2nd St Ne, Canton OH, 44704-1132. NPI Number Daniel Paul Heatherly D.O. has the Individual type.

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1194050716 NPI number is provided on an as is basis without warranty of any kind. 1194050716 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Paul Heatherly D.O. are for informational purposes only.