Individual
CHARLES H HEFFRON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12303 NE 130TH LN, SUITE 420, KIRKLAND, WA 98034-3099
(425) 899-6400
(425) 899-4490
Mailing address
12303 NE 130TH LN, SUITE 420, KIRKLAND, WA 98034-3099
(425) 899-6400
(425) 899-4490
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD19146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1927508
—
WA
Enumeration date
08/23/2006
Last updated
05/09/2012
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