Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 600 | CT |
NPI | 1043741937 |
---|---|
Provider Name | Dr. Duncan Heard |
First Address | Putnam, CT 06260-1800 |
Second Address | Putnam, CT 06260-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2017 |
Last Update Date | 23/03/2017 |