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Individual

MRS. HEIDI A BERDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1830 MESQUITE AVE, SUITE C, LAKE HAVASU CITY, AZ 86403-5885
(928) 855-6966
(928) 855-6974
Mailing address
PO BOX 650, LAKE HAVASU CITY, AZ 86405-0650
(928) 855-6966
(928) 855-6974

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42565
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
479811
AZ
Enumeration date
10/04/2005
Last updated
10/09/2014
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