Individual
HEIDI JO SPADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4085
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A185179
CA
Other
Enumeration date
04/05/2020
Last updated
07/17/2023
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