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NPI Code Detail

MEDICARE: ADEE HEIMAN

MEDICARE:   ADEE  HEIMAN
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
1208600000XSurgery Physician33083OK

General Provider Information

NPI Number : 1962936922
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADEE HEIMAN
Provider Business Mailing Address
First Line : 1802 E 19TH ST
Second Line : KRAVIS BUILDING
City : TULSA
State : OK
Zip : 74104-5403
Country : US
Telephone Number : 918-634-7539
Fax Number :
Provider Business Practice Location Address
First Line : 1802 E 19TH ST
Second Line : KRAVIS BUILDING
City : TULSA
State : OK
Zip : 74104-5403
Country : US
Telephone Number : 918-634-7539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2017
Last Update Date : 08/06/2019

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Directions to “ ADEE HEIMAN ” Practice Location

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