Individual
DR. EDWARD ANDERSEN HEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1648 MAPLE AVE, SALT LAKE CITY, UT 84106-3320
(801) 486-6141
(801) 486-6141
Mailing address
1648 MAPLE AVE, SALT LAKE CITY, UT 84106-3320
(801) 486-6141
(801) 486-6141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1505141205
UT
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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