Individual
DR. DAVID J. HEADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3909 ORANGE PL STE 2400, BEACHWOOD, OH 44122-4468
(216) 464-1115
(216) 464-2930
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(216) 464-1115
(216) 464-2930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35063970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0971006
—
OH
Enumeration date
09/02/2006
Last updated
01/12/2021
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