Individual
NANCY DAYZIE HEAVILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 548-2164
(541) 548-0534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0052767
CO
Other
Enumeration date
04/11/2010
Last updated
09/03/2015
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