Whalio Doctors

NPI 1093791121

John T. Heffernan, MD

Practitioner Ophthalmic Plastic and Reconstructive Surgery Physician Tacoma, WA

Practice location

Address
502 S M St, Tacoma, WA 98405-3728
Phone
(206) 212-2100
Fax
(206) 212-2194
Mailing address
34719 6th Ave S, Federal Way, WA 98003-8714

Registered specialties (2)

Ophthalmic Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence MD00016843 (WA)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD00016843 (WA)

Registry record

NPI
1093791121
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Dec 2005
Record last updated
3 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.