Provider Demographics
NPI:1962538215
Name:HEAP, ADRIAN J (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:J
Last Name:HEAP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1201 JADWIN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3430
Mailing Address - Country:US
Mailing Address - Phone:509-943-8535
Mailing Address - Fax:509-946-4894
Practice Address - Street 1:1201 JADWIN AVE STE 104
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3430
Practice Address - Country:US
Practice Address - Phone:509-943-8535
Practice Address - Fax:509-946-4894
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA15719174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist