DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL P HEFFERNAN, MD

Active

DR. MICHAEL P HEFFERNAN, MD is a Dermatology healthcare provider located in SAN LUIS OBISPO, California. NPI 1518923432 is currently active in the NPPES registry. Verify at CMS.

Dermatology · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1518923432
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2006 (20.303957153756 yrs)
Last Updated
Oct 13, 2014
Licenses
35074557 (OH)
01072447A (IN)
G80065 (CA)

Practice Information

Address
15 SANTA ROSA ST
SAN LUIS OBISPO, CA, 934051811
Browse CA providers · Browse ZIP 93405
Phone
8055412650
Fax
8055414043
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Dermatology

Other Dermatology Providers in SAN LUIS OBISPO, CA

Name Credential NPI
DR. KAREN DENISE ALLEN MD 1942200183
CHARLES B. FISHMAN M.D. 1194825752
DR. SHIRLEY LYNNE VAN MD 1063530749
DR. PAUL STEPHEN COLLINS M.D. 1437361771
JENNIFER REMINGTON M.D. 1265616361
LISA LINDVALL AQUINO MD 1063781557
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.