Individual
ROBERT G HEASTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W 42ND ST, SUITE 2600, SCOTTSBLUFF, NE 69361-0615
(308) 632-7322
(308) 632-6181
Mailing address
2 W 42ND ST, SUITE 2600, SCOTTSBLUFF, NE 69361-0615
(308) 632-7322
(308) 632-6181
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13022
NE
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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