MR. Heith L Waddell, MD

NPI #1932413267 in Custer, South Dakota

Provider Information

NPI Number: 1932413267
Entity Type: Individual
Name: MR. Heith L Waddell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 28, 2010
Last Updated: Mar 31, 2020

Practice Location

Address: 1041 MONTGOMERY ST
City: Custer
State: South Dakota
ZIP Code: 57730-1304
Phone: (605) 673-4150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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