Individual
SHAWNA D. HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7201 NORTH M-1 HIGHWAY, GLADSTONE, MO 64119
(816) 436-5834
Mailing address
4304 NE 57TH TER, KANSAS CITY, MO 64119-4681
(816) 452-8979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MOT03259
MO
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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