Individual
HEATHER MARIE STIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(812) 630-0508
Mailing address
5672 W CRESTVIEW TRL, MCCORDSVILLE, IN 46055-6253
(812) 630-0508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
04/29/2020
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