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Contact Information

THOMAS A HEAFNER, MD
60 MDG/60 SGCS/SGCH
101 BODIN CIR
TRAVIS AFB, CA94535
 Phone: 314-691-1352
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for THOMAS A HEAFNER · (Male)

NPI Number 1396030102
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2011
Last updated 02/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A165653
  • MN License # 62145
  • MT License # 76915
Hospital affiliation(s)
  • DAMERON HOSPITAL - (Acute Care)
    525 WEST ACACIA STREET
    STOCKTON, CA 95203
  • NORTHBAY MEDICAL CENTER - (Acute Care)
    1200 B GALE WILSON BLVD
    FAIRFIELD, CA 94533
  • UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER - (Acute Care)
    2315 STOCKTON BOULEVARD
    SACRAMENTO, CA 95817
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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