Individual
HEIDI E STANDTEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
(000) 000-0000
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6209437-1205
UT
208M00000X
Hospitalist Physician
6209437-1205
UT
208M00000X
Hospitalist Physician
Primary
C55398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841401924005
—
UT
Enumeration date
07/02/2006
Last updated
12/31/2021
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