Individual provider · Type 1 NPI

Heidi E. Wimberly, PA-C

Medical Physician Assistant · Shreveport, LA

NPI number 1083797245 Active

Practice location

2600 Kings Hwy, Department Of Radiation Oncology
Shreveport, LA 71103-3950

Call (318) 212-4639 Map

Fax (318) 212-8305

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA200094RX (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1083797245

Heidi E. Wimberly, PA-C's National Provider Identifier is 1083797245, issued on Oct 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shreveport, LA. The record was last updated on Jan 13, 2011.