Philip A Heavner M.D.

NPI 1093773111 - Pediatrics - 208000000X

NPI Details
NPI 1093773111
Gender Male
Enumeration Date 05/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 ATWELL RD
COOPERSTOWN NY, 13326-1301, US
Phone (607) 547-7980
Fax (607) 547-6782
Business Location
514 HUFF RD
COOPERSTOWN NY, 13326-2822, US
Phone (607) 544-1122
Fax
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 234803
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According to our database, Dr. Philip A Heavner M.D. NPI is 1093773111, taxonomy code is 208000000X and license number is 234803, license state is located at New York. Philip A Heavner M.D. physically located at 1 Atwell Rd, Cooperstown NY, 13326-1301. NPI Number Philip A Heavner M.D. has the Individual type.

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1093773111 NPI number is provided on an as is basis without warranty of any kind. 1093773111 is maintained by the National Plan & Provider Enumeration System. The contents of Philip A Heavner M.D. are for informational purposes only.