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NPI 1629244355

IndividualActive

Bren Heaton, MD

NPI 1629244355 · Surgery Physician · Boise, ID

Provider details

NPI number: 1629244355
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No

Practice location

6140 W Curtisian Ave

Suite 100

Boise, ID 83704-0109

Phone: (208) 367-7090

Fax: (208) 367-7092

More ID providers

Mailing address

3340 E Goldstone Way

Meridian, ID 83642-1026

Registry dates

Enumerated: 2008-05-02
Last updated: 2023-05-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bren Heaton, MD — NPI 1629244355, Boise, ID | NPI Central