LEA D HEDSTROM

OGDEN, UT
NPI1952656738
Former NameLEA D SIMMONS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8361980-1206)
Enumeration Date2012-07-18
Last Update Date2017-01-17
Business Address
-- LEA D HEDSTROM PA-C
4650 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3090
Mailing Address
-- LEA D HEDSTROM PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3090
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