NPI | 1043409758 |
---|---|
Doing Business As | ERIC J. HEATHERS MD |
Entity Type | Organization |
Authorized Contact | ERIC J HEATHERS Manager 765-864-5704 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01044350A) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2012-10-15 |