Organization
JUNE E HEILMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNE E HEILMAN M.D. (PRESIDENT/ OWNER)
(208) 234-0188
Entity
Organization
Contact information
Practice address
333 N 18TH AVE, POCATELLO, ID 83201-3358
(208) 234-0188
(208) 233-8408
Mailing address
333 N 18TH AVE, POCATELLO, ID 83201-3358
(208) 234-0188
(208) 233-8408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-4221
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002530900
—
ID
Enumeration date
04/08/2010
Last updated
04/08/2010
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