MEDICARE: HEATHER BLOESSER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	7467	KS

General Provider Information

NPI Number	:	1659692135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER BLOESSER DO

Provider Business Mailing Address
First Line	:	2820 E ROCK HAVEN RD STE 210
Second Line	:
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4414
Country	:	US
Telephone Number	:	816-380-7470
Fax Number	:	813-887-0350

Provider Business Practice Location Address
First Line	:	2820 E ROCK HAVEN RD STE 210
Second Line	:
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4414
Country	:	US
Telephone Number	:	816-380-7470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	07/21/2022

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Directions to “ HEATHER BLOESSER DO” Practice Location

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