Organization
DAVID HEANEY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HEANEY (BOD: SECRETARY, ADMINISTRATOR)
(559) 733-9707
Entity
Organization
Contact information
Practice address
515 W ACEQUIA AVE STE A, VISALIA, CA 93291-6131
(559) 733-9707
(559) 733-7009
Mailing address
515 W ACEQUIA AVE STE A, VISALIA, CA 93291-6131
(559) 733-9707
(559) 733-7009
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00A301420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A301420
—
CA
01
—
05D0864240
CLIA NUMBER
CA
01
—
1013902733
NPPES - PRACTICING DR NPI
CA
Enumeration date
05/14/2007
Last updated
06/20/2018
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