MISS Heather Lynn Widell, PA-C
NPI #1902216377 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1902216377
- Entity Type
- Individual
- Name
- MISS Heather Lynn Widell, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- May 6, 2014
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 1100 WILFORD HALL LOOP
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-5638
- Phone
- (210) 808-3415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Physician Assistant - Medical — Medical |
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