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Dr. Jacob Wayne Heck, DPM
Foot & Ankle Surgery Podiatrist in Centralia, Washington
NPI 1083916241

Jacob Wayne Heck is a Foot & Ankle Surgery Podiatrist based in Centralia, WA and is specialized in Foot & Ankle Surgery. Jacob Wayne Heck practices in Centralia, WA and has the professional credentials of DPM. The NPI Number for Jacob Wayne Heck is 1083916241 and holds a License No. SC006058 (Washington).

The current practice location address for Jacob Wayne Heck is 1720 Cooks Hill Rd, Centralia, WA and can be reached out via phone at 360-736-2527.

Location: 1720 Cooks Hill Rd, Centralia, WA, 98531-9071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083916241
Provider Name
Jacob Wayne Heck
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1720 Cooks Hill Rd, Centralia, WA, 98531-9071
Phone Number
360-736-2527
Fax Number
Provider Enumeration Date
11/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1720 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9071
Phone Number
360-736-2527
Fax Number
person
Provider Business Mailing Address Details
Address
1720 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9071
Phone Number
360-736-2527
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC006058 (Pennsylvania)
Definition
Definition to come...
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