Lea D Hedstrom, PA-C

NPI #1952656738 in Ogden, Utah

Provider Information

NPI Number: 1952656738
Entity Type: Individual
Name: Lea D Hedstrom, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 18, 2012
Last Updated: Jan 17, 2017

Practice Location

Address: 4650 HARRISON BLVD
City: Ogden
State: Utah
ZIP Code: 84403-4303
Phone: (801) 475-3090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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