Dennis James Heaton PA-C

NPI 1144453978 - Physician Assistant - 363AS0400X

NPI Details
NPI 1144453978
Gender Male
Enumeration Date 08/27/2009
Last Updated 07/12/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
1632 116TH AVE NE
SUITE C
BELLEVUE WA, 98004-3035, US
Phone (425) 462-9800
Fax (425) 454-9143
Business Location
1632 116TH AVE NE
SUITE C
BELLEVUE WA, 98004-3035, US
Phone (425) 462-9800
Fax (425) 454-9143
Toxanomy
Taxonomy Code 363AS0400X
License State Minnesota
License Number 1319
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According to our database, Dennis James Heaton PA-C NPI is 1144453978, taxonomy code is 363AS0400X and license number is 1319, license state is located at Minnesota. Dennis James Heaton PA-C physically located at 1632 116th Ave Ne, Bellevue WA, 98004-3035. NPI Number Dennis James Heaton PA-C has the Individual type.

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1144453978 NPI number is provided on an as is basis without warranty of any kind. 1144453978 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis James Heaton PA-C are for informational purposes only.