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Individual

DR. THOMAS HEETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3108 STATE ROUTE 257, SENECA, PA 16346-2426
(814) 677-7048
Mailing address
3108 STATE ROUTE 257, SENECA, PA 16346-2426
(814) 677-7048

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP489143
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017373530002
PA STATE MEDICAL ASSISTAN
PA
Enumeration date
01/25/2006
Last updated
11/17/2011
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