Heidi E Wimberly, PA-C
NPI #1083797245 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1083797245
- Entity Type
- Individual
- Name
- Heidi E Wimberly, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jan 13, 2011
Practice Location
- Address
- 2600 KINGS HWY
- Address 2
- DEPARTMENT OF RADIATION ONCOLOGY
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-3950
- Phone
- (318) 212-4639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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