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Individual

ELIZABETH M HEDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
610 S SHERMAN ST, SUITE 201, SPOKANE, WA 99202-1342
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220
(509) 838-2531

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12330
CA
363A00000X
Physician Assistant
Primary
PA60148026
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0PA123300
CA
Enumeration date
09/13/2006
Last updated
08/23/2010
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