Provider Demographics
NPI:1316949241
Name:HEATH, TERENCE ALON (MD)
Entity type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:ALON
Last Name:HEATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:NAVAL HOSPITAL CAMP PENDLETON
Mailing Address - Street 2:SANTA MARGARITA ROAD, BLDG H100, ATTENTION: CODE CS-PA
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055
Mailing Address - Country:US
Mailing Address - Phone:760-725-1089
Mailing Address - Fax:760-725-0469
Practice Address - Street 1:NAVAL HOSPITAL CAMP PENDLETON
Practice Address - Street 2:SANTA MARGARITA ROAD, BLDG H100, ATTENTION: CODE CS-PA
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-1089
Practice Address - Fax:760-725-0469
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA83399207V00000X
VA0101056183207V00000X
UT6311045-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology