Mark Russell Heston D.C.

NPI 1063540417 - Chiropractor - 111N00000X

NPI Details
NPI 1063540417
Gender Male
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
425 TRINITY LAKE BOULEVARD
B
WEAVERVILLE CA, 96093, US
Phone (530) 623-2225
Fax (530) 623-2553
Business Location
PO BOX 1503
WEAVERVILLE CA, 96093-1503, US
Phone (530) 623-2225
Fax (530) 623-2553
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC0228590
Remove 1063540417 NPI Number
 

According to our database, Dr. Mark Russell Heston D.C. NPI is 1063540417, taxonomy code is 111N00000X and license number is DC0228590, license state is located at California. Mark Russell Heston D.C. physically located at 425 Trinity Lake Boulevard, Weaverville CA, 96093. NPI Number Mark Russell Heston D.C. has the Individual type.

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1063540417 NPI number is provided on an as is basis without warranty of any kind. 1063540417 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Russell Heston D.C. are for informational purposes only.