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Individual

DR. HEAVIN BORTZ MAIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
412 E 30TH AVE, SPOKANE, WA 99203-2556
(509) 448-7300
(509) 448-7382
Mailing address
412 E 30TH AVE, SPOKANE, WA 99203-2556
(509) 448-7300
(509) 448-7382

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2970AT
OR
152W00000X
Optometrist
Primary
3911
WA
152W00000X
Optometrist
ODP-100061
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0191247
LABOR AND INDUSTRY
WA
05
2029569
WA
Enumeration date
12/21/2005
Last updated
09/17/2021
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