Individual
DR. THOMAS EDWARD HEERING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-8718
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
161429
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
21579
TN
367500000X
Certified Registered Nurse Anesthetist
901410
MS
Other
Enumeration date
08/02/2018
Last updated
09/01/2020
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