Individual provider · Type 1 NPI

Paul Robert Heacox, BS

Specialist · Grand Rapids, MI

NPI number 1679893358 Active

Practice location

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Call (616) 464-0269 Map

Fax (616) 940-8151

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679893358

Paul Robert Heacox, BS's National Provider Identifier is 1679893358, issued on Jun 4, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 4, 2010.