Search › Idaho › 208600000X
Bren Heaton, MD
NPI 1629244355 · on the registry since 2008
Practice
- Address
- 6140 W Curtisian Ave
Suite 100
Boise, ID 83704 - Phone
- (208) 367-7090
- Fax
- (208) 367-7092
- Organisation at this address
- N S Support Llc
Kenneth M Little
Michael V Hajjar Md
Timothy J Johans, Md
Richard Lochhead Md PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Additional practice sites
- 415 6th St Ste 2, Lewiston, ID
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho