Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E3700 | CA |
N | 222Z00000X | Podiatrist | E3700 | CA |
N | 213ES0131X | Foot Surgery | E3700 | CA |
NPI | 1295867000 |
---|---|
Provider Name | Dr. Geoffrey Stuart Heard |
First Address | Belmont, CA 94002-3465 |
Second Address | Belmont, CA 94002-3465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U06192 | (02) |