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Organization
DAVID HEANEY, M.D., INC.
Active
Organization
DAVID HEANEY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BROOKSHER (BOD: SECRETARY - ADMINISTRATOR)
(559) 733-9707
Entity
Organization
Contact information
Practice address
1070 N CHERRY ST, TULARE, CA 93274-2251
(559) 733-9707
Mailing address
1120 N CHINOWTH ST, VISALIA, CA 93291-7896
(559) 733-9707
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00A301420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A301420
—
CA
01
—
1013902733
NPPES-PRACTICING DR'S NPI
CA
Enumeration date
05/14/2007
Last updated
10/23/2007
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