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Contact Information

GARY W HEATH, MD
625 EAST BROADWAY
ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY
JACKSON, WY83001
 Phone: 800-633-1905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GARY W HEATH · (Male)

NPI Number 1952317323
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 6361A
  • Other 6361A WY MEDICAL LICENSE
  • Other 310489 WYOMING BLUE
Hospital affiliation(s)
  • SOUTH LINCOLN MEDICAL CENTER - CAH - (Critical Access)
    PO BOX 390
    KEMMERER, WY 83101
  • ST JOHNS MEDICAL CENTER - (Acute Care)
    625 EAST BROADWAY
    JACKSON, WY 83001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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