HEIDI L LODGE

DOUGLAS, AZ
NPI1669426144
Former NameHEIDI LEAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  22674)
Enumeration Date2006-05-20
Last Update Date2022-08-12
Business Address
HEIDI L LODGE MD
100 E 5TH ST STE 350
DOUGLAS, AZ 85607-2859
Phone number: 520-364-7659
Mailing Address
HEIDI L LODGE MD
101 COLE AVE
BISBEE, AZ 85603-1327
Phone number: 520-432-6481
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