Individual
MR. RICHARD W HEINL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2650 EXECUTIVE PARK NW, SUITE 5, CLEVELAND, TN 37312-2746
(423) 479-9679
(423) 559-9046
Mailing address
2650 EXECUTIVE PARK NW, SUITE 5, CLEVELAND, TN 37312-2746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
884
TN
Other
Enumeration date
06/12/2006
Last updated
12/12/2016
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