Individual
HEIDI BOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
Mailing address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
(919) 667-2322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10779
NC
Other
Enumeration date
10/22/2015
Last updated
08/30/2022
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