Healthcare Provider Details

I. General information

NPI: 1487376471
Provider Name (Legal Business Name): EVAN JAMES HEER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 STEINDLER WAY STE B
NORTH LIBERTY IA
52317-7908
US

IV. Provider business mailing address

2301 STEINDLER WAY STE B
NORTH LIBERTY IA
52317-7908
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-3606
  • Fax: 319-338-0522
Mailing address:
  • Phone: 319-338-3606
  • Fax: 319-338-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number116566
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: