Jody Nathaniel Hefner D.O.

NPI 1679629869 - Pediatrics - 208000000X

NPI Details
NPI 1679629869
Gender Male
Enumeration Date 01/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6900 GEORGIA AVE NW
WASHINGTON DC, 20307-0003, US
Phone (202) 782-6103
Fax
Business Location
15009 CHERRYWOOD DR
LAUREL MD, 20707-5557, US
Phone (240) 778-9826
Fax
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 2006009611
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According to our database, Dr. Jody Nathaniel Hefner D.O. NPI is 1679629869, taxonomy code is 208000000X and license number is 2006009611, license state is located at Missouri. Jody Nathaniel Hefner D.O. physically located at 6900 Georgia Ave Nw, Washington DC, 20307-0003. NPI Number Jody Nathaniel Hefner D.O. has the Individual type.

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1679629869 NPI number is provided on an as is basis without warranty of any kind. 1679629869 is maintained by the National Plan & Provider Enumeration System. The contents of Jody Nathaniel Hefner D.O. are for informational purposes only.