Individual
PAUL AVERETT HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S DIVISION ST, POWELL, WY 82435-2409
(307) 754-7970
(307) 333-0470
Mailing address
PO BOX 847, POWELL, WY 82435-0847
(307) 754-7970
(307) 333-0470
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
197
WY
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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