Organization
DAVID ROBERT HEINER M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT HEINER M.D. (PRESIDENT)
(435) 637-7727
Entity
Organization
Contact information
Practice address
945 W HOSPITAL DR STE 8, PRICE, UT 84501-4230
(435) 637-7727
Mailing address
945 W HOSPITAL DR STE 8, PRICE, UT 84501-4230
(435) 637-7727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1683311205
UT
332B00000X
Durable Medical Equipment & Medical Supplies
1683311205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1683311205
STATE LICENSE NUMBER
UT
01
—
U000001621
PTAN
UT
Enumeration date
07/28/2010
Last updated
03/07/2023
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