Individual
CHRISTOPHER DABNEY HEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 MEMORIAL DR, STE 200, BELLEVILLE, IL 62226-5373
(618) 222-9192
(618) 222-9234
Mailing address
4700 MEMORIAL DR, STE 200, BELLEVILLE, IL 62226-5373
(618) 222-9192
(618) 222-9234
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036084029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084029
—
IL
Enumeration date
06/28/2005
Last updated
03/20/2014
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