Individual
DR. JUNE E HEILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
777 HOSPITAL WAY STE 201, POCATELLO, ID 83201-5162
(208) 239-2260
(208) 239-3759
Mailing address
777 HOSPITAL WAY STE 201, POCATELLO, ID 83201-5162
(208) 239-2260
(208) 239-3759
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4221
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002530900
—
ID
Enumeration date
10/17/2006
Last updated
07/21/2011
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