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Individual

DAVID W. HEFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
675 N BROAD STREET EXT, SUITE 5, GROVE CITY, PA 16127-5805
(724) 458-5872
(724) 458-5972
Mailing address
675 N BROAD STREET EXT, SUITE 5, GROVE CITY, PA 16127-5805
(724) 458-5872
(724) 458-5972

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS010332L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001736178
PA
Enumeration date
03/20/2006
Last updated
03/01/2010
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