Individual
HEIDI E WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY, SHREVEPORT, LA 71103-3950
(318) 212-4639
(318) 212-8305
Mailing address
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY, SHREVEPORT, LA 71103-3950
(318) 212-4639
(318) 212-8305
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200094RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706566
—
LA
Enumeration date
10/23/2006
Last updated
01/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us