Individual
MR. MARK R HEFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC-FNAO
Contact information
Practice address
1550 E BATTLEFIELD ST STE J, SPRINGFIELD, MO 65804-3700
(417) 882-3937
(417) 887-5166
Mailing address
1550 E BATTLEFIELD ST STE J, SPRINGFIELD, MO 65804-3700
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
12844
MO
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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