Individual
JEFFREY J. HEFFERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 669-2800
Mailing address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 668-2600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35698
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32063200
—
WI
Enumeration date
09/01/2006
Last updated
10/20/2011
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