Thea Heaton, PA-C

NPI #1811998628 in Nampa, Idaho

Provider Information

NPI Number: 1811998628
Entity Type: Individual
Name: Thea Heaton, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 2, 2005
Last Updated: Feb 9, 2016

Practice Location

Address: 318 2ND ST S
City: Nampa
State: Idaho
ZIP Code: 83651-3765
Phone: (208) 467-3006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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