Individual
MR. HEITH L WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 E OAK ST, SUNDANCE, WY 82729-5172
(307) 283-3501
(307) 283-3506
Mailing address
PO BOX 517, 713 OAK STREET, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8880
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135583000
—
WY
Enumeration date
07/28/2010
Last updated
05/06/2026
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