Individual
SCOTT MITCHELL HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 752-1693
(435) 792-1692
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11420204-1205
UT
Other
Enumeration date
04/24/2018
Last updated
06/06/2023
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