Individual
DR. BREN A HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 W CURTISIAN AVE, SUITE 100, BOISE, ID 83704-0109
(208) 367-7090
(208) 367-7092
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-11687
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/02/2008
Last updated
05/01/2023
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