Individual
HEATHER HEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 ROSE ST, LOGAN, UT 84341-2802
(435) 232-5958
Mailing address
1031 ROSE ST, LOGAN, UT 84341-2802
(435) 232-5958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10371149-4405
UT
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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