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Individual

HEIDI HERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

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
Update your record

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