Individual
SCOTT DEAN HEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 E BOGARD RD STE 6, WASILLA, AK 99654-7174
(907) 982-9226
(907) 746-7035
Mailing address
PO BOX 922, PALMER, AK 99645-0922
(907) 982-9226
(907) 746-7035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2112454
AK
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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