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Individual

DAWN E. HEAGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6130
(303) 788-4996
Mailing address
PO BOX 744326, ATLANTA, GA 30374-4326
(303) 788-6130
(303) 788-4996

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
6091
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DR.0070765
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OP60445070
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TEP
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558599647
WA
01
P01374517
RR MEDICARE
WA
Enumeration date
06/26/2009
Last updated
06/11/2023
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