Individual
DR. CHRISTOPHER ROBERT HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E PARK AVE STE 207, STATE COLLEGE, PA 16803-6706
(814) 235-2480
(814) 235-2482
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD452635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029592320001
—
PA
Enumeration date
06/23/2011
Last updated
06/24/2019
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