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Individual

DR. NICHOLAS S HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7800 PACIFIC AVE, SUITE 1, TACOMA, WA 98408-7050
(253) 473-5566
(253) 882-0988
Mailing address
7800 PACIFIC AVE, SUITE 1, TACOMA, WA 98408-7050
(253) 473-5566
(253) 882-0988

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000608
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11031647
WA
01
119010
LABOR & INDUSTRIES
WA
Enumeration date
07/10/2006
Last updated
07/08/2007
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