Eric Vaughn Heatwole MD

NPI 1053382234 - Radiology - 2085R0202X

NPI Details
NPI 1053382234
Gender Male
Enumeration Date 01/27/2006
Last Updated 06/17/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
5001 US HIGHWAY 30 W STE D
FORT WAYNE IN, 46818-9701, US
Phone (260) 432-1568
Fax (260) 432-4969
Business Location
PO BOX 80070
FORT WAYNE IN, 46898-0070, US
Phone (260) 432-1568
Fax (260) 432-4969
Toxanomy
Taxonomy Code 2085R0202X
License State Indiana
License Number 01057573
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According to our database, Dr. Eric Vaughn Heatwole MD NPI is 1053382234, taxonomy code is 2085R0202X and license number is 01057573, license state is located at Indiana. Eric Vaughn Heatwole MD physically located at 5001 Us Highway 30 W Ste D, Fort Wayne IN, 46818-9701. NPI Number Eric Vaughn Heatwole MD has the Individual type.

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1053382234 NPI number is provided on an as is basis without warranty of any kind. 1053382234 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Vaughn Heatwole MD are for informational purposes only.