Organization
HEATON FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED MATTHEW HEATON D.O. (MEMBER)
(814) 224-2213
Entity
Organization
Contact information
Practice address
100 NASON DR STE 103, ROARING SPRING, PA 16673-1201
(814) 224-2213
(814) 224-5879
Mailing address
100 NASON DR STE 103, ROARING SPRING, PA 16673-1201
(814) 224-2213
(814) 224-5879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013765
PA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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