| NPI | 1629023429 |
|---|---|
| Doing Business As | HEGG MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | VALERIE LADD LOUDENBACK Clinic Manager 712-476-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-08-10 |