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Individual

DR. HERMAN CHARLES HEIKKENEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1003 DIVISION ST, STE 1 ROCKY MOUNTAIN MEDICAL PLLC, PRESCOTT, AZ 86301
(928) 777-2425
(928) 777-9044
Mailing address
PO BOX 2527, ROCKY MOUNTAIN MEDICAL PLLC, PRESCOTT, AZ 86302
(928) 777-2425
(928) 777-9044

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32037
AZ

Other

Enumeration date
11/08/2006
Last updated
11/13/2007
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