# DR HEIDI C MIST MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912256314
- **Authorized official:** DR. HEIDI MIST (OWNER)
- **Authorized official phone:** (530) 527-7333

## Contact information

- **Practice address:** 1022 JEFFERSON ST, RED BLUFF, CA 96080-2726
- **Practice address phone:** (530) 527-7333
- **Mailing address:** 1022 JEFFERSON ST, RED BLUFF, CA 96080-2726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A80054 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2012
- **Last updated:** 10/26/2012