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Individual

DR. BARRY G HEAVRIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2326 MAIN ST, PARSONS, KS 67357-2724
(620) 421-1479
Mailing address
2326 MAIN ST, PARSONS, KS 67357-2724
(620) 421-1479

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5887
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7875
BCBS OF KS PROVIDER ID
KS
Enumeration date
04/05/2006
Last updated
07/08/2007
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