Individual
JARED G HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3085 E MAGIC VIEW DR STE 140, MERIDIAN, ID 83642-3745
(208) 229-9009
(208) 229-9010
Mailing address
3085 E MAGIC VIEW DR STE 140, MERIDIAN, ID 83642-3745
(208) 229-9009
(208) 229-9010
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
TL3798
ID
Other
Enumeration date
08/30/2006
Last updated
01/29/2019
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