Individual
DR. DAVID A. HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(520) 795-7650
Mailing address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(520) 795-7650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42713
AZ
207L00000X
Anesthesiology Physician
H8117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123820603
—
TX
05
—
123820604
—
TX
Enumeration date
12/23/2005
Last updated
09/11/2018
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