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NPI Code Detail

MEDICARE: MRS. HEIDI A BERDIN MD

MEDICARE:  MRS. HEIDI A BERDIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician42565AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659368751
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI A BERDIN MD
Provider Business Mailing Address
First Line : PO BOX 650
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86405-0650
Country : US
Telephone Number : 928-855-6966
Fax Number : 928-855-6974
Provider Business Practice Location Address
First Line : 1830 MESQUITE AVE
Second Line : SUITE C
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5885
Country : US
Telephone Number : 928-855-6966
Fax Number : 928-855-6974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 10/09/2014

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Directions to “ MRS. HEIDI A BERDIN MD” Practice Location

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