Individual
DR. JOHN TIMOTHY HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60968447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154663
—
WA
Enumeration date
05/29/2014
Last updated
08/14/2020
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