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Individual

DR. DAVID JACOB HEATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO, MS, ATC

Contact information

Practice address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 832-8761
Mailing address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 832-8761

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.010641
OH
2255A2300X
Athletic Trainer
AT 0000000793
TN

Other

Enumeration date
10/10/2005
Last updated
08/10/2012
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