Individual
DR. ROBERT B HEACOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 E 2100 S, SALT LAKE CITY, UT 84106-1887
(800) 366-1884
(801) 487-8197
Mailing address
102 W ANN STREET, SPRING LAKE, MI 49456-1867
(616) 566-8404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301037474
MI
Other
Enumeration date
09/15/2006
Last updated
03/30/2011
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