Individual
DR. KRISTA RENAE HEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
111 E CENTURY AVE, BISMARCK, ND 58503-0412
(701) 222-1420
(701) 255-2414
Mailing address
111 E CENTURY AVE, BISMARCK, ND 58503-0412
(701) 222-1420
(701) 255-2414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
627
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456143
—
ND
Enumeration date
04/13/2006
Last updated
02/08/2021
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