Individual
DR. SUMIKO JOAN HEGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 N 2ND ST STE 102, BOISE, ID 83702-6129
(208) 344-1281
(208) 344-1696
Mailing address
222 N 2ND ST STE 102, BOISE, ID 83702-6129
(208) 344-1281
(208) 344-1696
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M6778
ID
Other
Enumeration date
07/10/2006
Last updated
06/04/2019
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