Individual
MR. JOHN MARCUS HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 W MAPLE AVE, SUITE 411, SPRINGDALE, AR 72764-5335
(479) 757-5354
Mailing address
601 W MAPLE AVE, SUITE 411, SPRINGDALE, AR 72764-5335
(479) 757-5354
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E5387
AR
207X00000X
Orthopaedic Surgery Physician
R8G14
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167207003
—
AR
01
—
5H055C072
MEDICARE PTAN
AR
Enumeration date
01/30/2006
Last updated
09/09/2020
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