Individual
DR. FRED M HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 NASON DR, SUITE 103, ROARING SPRING, PA 16673-1212
(814) 224-2213
(814) 224-0005
Mailing address
111 NASON DR, SUITE 103, ROARING SPRING, PA 16673-1212
(814) 224-2213
(814) 224-0005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013765
PA
Other
Enumeration date
05/12/2006
Last updated
09/26/2014
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