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Individual

DR. THOMAS ANTHONY HEAFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 MDG/60 SGCS/SGCH, 101 BODIN CIR, TRAVIS AFB, CA 94535
(314) 691-1352
Mailing address
60 MDG/60 SGCS/SGCH, 101 BODIN CIR, TRAVIS AFB, CA 94535

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
62145
MN
2086S0129X
Vascular Surgery Physician
76915
MT
2086S0129X
Vascular Surgery Physician
Primary
A165653
CA

Other

Enumeration date
06/09/2011
Last updated
02/21/2025
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