Organization
SUSAN J. HEGSTAD, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN J HEGSTAD M.D. (OWNER)
(208) 344-1281
Entity
Organization
Contact information
Practice address
222 N 2ND ST STE 102, BOISE, ID 83702-6129
(208) 344-1281
Mailing address
222 N 2ND ST STE 102, BOISE, ID 83702-6129
(208) 344-1281
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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