Provider Demographics
NPI:1164523569
Name:HEATER, RICHARD D (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:HEATER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2801 K STREET
Mailing Address - Street 2:SUITE 330
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5119
Mailing Address - Country:US
Mailing Address - Phone:916-733-5049
Mailing Address - Fax:916-733-5079
Practice Address - Street 1:2801 K STREET
Practice Address - Street 2:SUITE 330
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5119
Practice Address - Country:US
Practice Address - Phone:916-733-5049
Practice Address - Fax:916-733-5079
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2009-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC31294207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery