Organization
DR HEIDI C MIST MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI MIST (OWNER)
(530) 527-7333
Entity
Organization
Contact information
Practice address
1022 JEFFERSON ST, RED BLUFF, CA 96080-2726
(530) 527-7333
Mailing address
1022 JEFFERSON ST, RED BLUFF, CA 96080-2726
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A80054
CA
Other
Enumeration date
08/31/2012
Last updated
10/26/2012
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