Individual
JUDITH HEGGEN
Active
Individual
JUDITH HEGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
3455
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269498
—
IA
01
—
13700
WELLMARK BLUE CROSS
IA
Enumeration date
09/16/2005
Last updated
05/26/2010
Update your record
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