Individual provider · Type 1 NPI
Ralph Duane Heckard, MD
General Practice Physician · Pocatello, ID
NPI number
1619032687
Active
Practice location
238 Oakwood Dr
Pocatello, ID 83204-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | M4388 (ID) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1619032687
Ralph Duane Heckard, MD's National Provider Identifier is 1619032687, issued on Dec 27, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 22, 2016.