Individual
HEATHER L FORSON
Active
Individual
HEATHER L FORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-291
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051507454
BLUE CROSS
AL
05
—
051507454
—
AL
01
—
970025232
RAILROAD MEDICARE
AL
Enumeration date
05/18/2006
Last updated
02/09/2010
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