Individual
JULIA S HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5516
Mailing address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 719-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10438229-1205
UT
207Q00000X
Family Medicine Physician
Primary
34716
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092080
—
IA
Enumeration date
09/02/2005
Last updated
09/23/2020
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