Individual
DR. BRAD E HEITHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 COOKSON DR, WEST BRANCH, IA 52358-9632
(319) 643-2516
(319) 643-5720
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 643-2516
(319) 643-5720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-35993
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460980
—
IA
01
—
P00244984
RR MEDICARE
IA
Enumeration date
01/03/2006
Last updated
04/17/2024
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