Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 01045598A | IN |
NPI | 1013007160 |
---|---|
Provider Name | Dr. Hunter Heath III |
First Address | Indianapolis, IN 46202-5233 |
Second Address | Indianapolis, IN 46202-5233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D81782 | (02) | IN |