Individual
HEIDI HERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
482 W 50 N, SUITE 14, AMERICAN FORK, UT 84003-2266
(801) 492-7662
(801) 492-7663
Mailing address
482 W 50 N STE 14, CRENDENTIALING DEPARTMENT, AMERICAN FORK, UT 84003-2266
(801) 492-7662
(801) 492-7663
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
370655-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-00197
UNITED HEALTHCARE
UT
01
—
243245
ALTIUS
UT
01
—
581492
DMBA
UT
01
—
84316
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028HER
EMIA
UT
01
—
P00264029
PALMETTO GBA
—
Enumeration date
06/14/2006
Last updated
09/30/2011
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