Individual
BRENTEN LANCE HEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-6830
(205) 934-3166
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-6830
(205) 934-3166
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.34747
AL
Other
Enumeration date
04/15/2014
Last updated
06/06/2019
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