Dan Heidenreich, PA-C
NPI #1174593636 in Fort Liberty, North Carolina
Provider Information
- NPI Number
- 1174593636
- Entity Type
- Individual
- Name
- Dan Heidenreich, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Nov 7, 2023
Practice Location
- Address
- 2817 ROCK MERRITT AVE
- City
- Fort Liberty
- State
- North Carolina
- ZIP Code
- 28310-7324
- Phone
- (910) 907-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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