Brian W Heaton SR., MD PC

NPI #1245248236 in Ogden, Utah

Provider Information

NPI Number: 1245248236
Entity Type: Individual
Name: Brian W Heaton SR., MD PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD PC
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4403 HARRISON BLVD
Address 2: SUITE 4400
City: Ogden
State: Utah
ZIP Code: 84403
Phone: (801) 387-4550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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