Individual
RALPH DUANE HECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
238 OAKWOOD DR, POCATELLO, ID 83204-3908
(208) 201-0795
Mailing address
238 OAKWOOD DR, POCATELLO, ID 83204-3908
(208) 201-0795
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M4388
ID
Other
Enumeration date
12/27/2006
Last updated
06/22/2016
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