Gary Heaston, PA-C | |
7238 6th St, Jensen Occupational Medicine Center, Bldg. 249, Hill Air Force Base, UT 84056-5213 | |
(801) 777-1157 | |
Not Available |
Full Name | Gary Heaston |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 7238 6th St, Hill Air Force Base, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083672992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 324779-1206 (Utah) | Primary |
Mailing Address | Practice Location Address |
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Gary Heaston, PA-C 167 S 600 E, Brigham City, UT 84302-2723 Ph: (435) 723-7077 | Gary Heaston, PA-C 7238 6th St, Jensen Occupational Medicine Center, Bldg. 249, Hill Air Force Base, UT 84056-5213 Ph: (801) 777-1157 |
Mr. Rickie E. Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7238 6th St Bldg 249, Hill Air Force Base, UT 84056 Phone: 801-777-1155 Fax: 801-775-6884 |