Individual
DR. HEIDI CORYELL SHORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 HERITAGE WAY STE 1200, KALISPELL, MT 59901-3160
(406) 752-6784
(406) 756-4111
Mailing address
350 HERITAGE WAY STE 1200, KALISPELL, MT 59901-3160
(406) 752-6784
(406) 756-4111
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
49525
MT
207XS0106X
Orthopaedic Hand Surgery Physician
MD00048758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR AND INDUSTRIES#
WA
01
—
8289SH
BLUE SHIELD#
WA
05
—
8496218
—
WA
01
—
P00417132
RAILROAD MC#
WA
Enumeration date
09/14/2007
Last updated
03/09/2021
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