Gary Heaston, PA-C

NPI #1083672992 in Hill Air Force Base, Utah

Provider Information

NPI Number: 1083672992
Entity Type: Individual
Name: Gary Heaston, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 2, 2006
Last Updated: May 7, 2025

Practice Location

Address: 7238 6TH ST
Address 2: JENSEN OCCUPATIONAL MEDICINE CENTER, BLDG. 249
City: Hill Air Force Base
State: Utah
ZIP Code: 84056-5213
Phone: (801) 777-1157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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