Bob Phillip Heaton, DC

NPI #1083688030 in Idaho Falls, Idaho

Provider Information

NPI Number: 1083688030
Entity Type: Individual
Name: Bob Phillip Heaton, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 15, 2006
Last Updated: Jan 24, 2014

Practice Location

Address: 1320 S AMMON ROAD
City: Idaho Falls
State: Idaho
ZIP Code: 83406-5810
Phone: (208) 529-2084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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