Individual
DR. THEODORE STANFORD HEGGEN V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4949 PLEASANT ST, SUITE 101, WEST DES MOINES, IA 50266-1741
(515) 306-6852
Mailing address
4949 PLEASANT ST, SUITE 101, WEST DES MOINES, IA 50266-1741
(515) 306-6852
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007599
IA
111N00000X
Chiropractor
12118
TX
Other
Enumeration date
09/04/2012
Last updated
04/05/2013
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