Andrea Heeter, PA-C, ATC

NPI #1467509612 in Santo Domingo, New Mexico

Provider Information

NPI Number: 1467509612
Entity Type: Individual
Name: Andrea Heeter, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Jan 3, 2007
Last Updated: Mar 17, 2018

Practice Location

Address: SANTO DOMINGO HEALTH CENTER
Address 2: 85 HWY 22
City: Santo Domingo
State: New Mexico
ZIP Code: 87052
Phone: (505) 465-3060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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