Individual
HEATHER N DEMORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
77 THOMAS JOHNSON DR STE C, FREDERICK, MD 21702-4893
(301) 668-3004
(301) 668-3005
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002586
MD
363AM0700X
Medical Physician Assistant
C0002586
MD
Other
Enumeration date
01/25/2007
Last updated
10/14/2024
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