Provider Demographics
NPI:1225691751
Name:DAVID D HEATON LLC
Entity Type:Organization
Organization Name:DAVID D HEATON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER / BILLER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHRISTIE-JUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-600-3300
Mailing Address - Street 1:601 N CRAYCROFT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1404
Mailing Address - Country:US
Mailing Address - Phone:520-600-3300
Mailing Address - Fax:520-600-3700
Practice Address - Street 1:601 N CRAYCROFT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1404
Practice Address - Country:US
Practice Address - Phone:520-600-3300
Practice Address - Fax:520-600-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty