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Individual

JUDITH A HEUSNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
407 E 2ND AVE, #200A, SPOKANE, WA 99202-1428
(509) 456-2111
(509) 456-0313
Mailing address
PO BOX 405, SPOKANE, WA 99210-0405
(208) 667-9334
(208) 664-2341

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00031782
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1110790
WA
Enumeration date
09/08/2005
Last updated
07/09/2007
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