Individual
DAVID G HEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804
(405) 273-5801
(405) 878-3794
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26527
OK
208D00000X
General Practice Physician
35-069027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324251
ANTHEM
OH
05
—
0288826
—
OH
05
—
200207780A
—
OK
Enumeration date
07/21/2006
Last updated
08/07/2018
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