Individual
MARK STEPHEN HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2479 E COLORADO BLVD, SPEARFISH, SD 57783-3204
(605) 644-4460
(605) 644-4461
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0450
SD
Other
Enumeration date
05/31/2006
Last updated
02/05/2013
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