Individual
CORY HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 9TH ST STE A, EUREKA, SD 57437-2183
(605) 284-2661
(605) 284-2054
Mailing address
PO BOX 487, EUREKA, SD 57437-0487
(605) 284-2661
(605) 284-2054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1042
SD
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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