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TRACE HEAVENER D.O.
D.O.
Gastroenterology Physician
NPI: 1841646726IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gastroenterology PhysicianPrimary
Internal Medicine — Gastroenterology
Code: 207RG0100X
O-1809(ID)
Education
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Class of 2016
Contact & Hours
- Address
- 1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814 - Phone
- (208) 625-4595
Quick Facts
- NPI
- 1841646726
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 10
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