Staci M Hestdalen, M.D.

NPI #1194790006 in Spokane Valley, Washington

Provider Information

NPI Number: 1194790006
Entity Type: Individual
Name: Staci M Hestdalen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Feb 22, 2006
Last Updated: Aug 13, 2019

Practice Location

Address: 1807 N HUTCHINSON RD
City: Spokane Valley
State: Washington
ZIP Code: 99212-2444
Phone: (509) 456-7414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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