TRACE HEAVENER, D.O.
Internal Medicine - Gastroenterology
Active
Individual
NPI: 1841646726
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Gastroenterology | 207RG0100X | Yes | O-1809 (ID) |
Frequently Asked Questions
NPI 1841646726 is the National Provider Identifier for TRACE HEAVENER, D.O., a Internal Medicine - Gastroenterology provider located in Coeur D Alene, ID. This NPI was enumerated on May 10, 2016.
TRACE HEAVENER, D.O. practices at 1919 LINCOLN WAY STE 415, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1841646726
- Type
- Individual
- Enumerated
- May 10, 2016
- Last Updated
- May 6, 2025
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