Individual
HEIDI WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40791
CO
208M00000X
Hospitalist Physician
40791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02709236
—
CO
Enumeration date
12/04/2006
Last updated
03/21/2011
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