Individual
DOUGLAS HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 S 3200 W, WEST JORDAN, UT 84088-9621
(801) 965-2799
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
14668
RI
207N00000X
Dermatology Physician
9250806-1205
UT
207NS0135X
Procedural Dermatology Physician
50534
AZ
207NS0135X
Procedural Dermatology Physician
Primary
9250806-1205
UT
Other
Enumeration date
06/30/2010
Last updated
08/11/2025
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