NPI 1538396064

Colleen Tamara Hiebenthal, MD

Practitioner General Practice Physician Fpo, AP

Practice location

Address: Uss Comstock Lsd 45, Fpo, AP 96662-1733
Phone: (619) 556-3845
Mailing address: 530 K St #203, San Diego, CA 92101-7058

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01068513A (IN)

Other General Practice providers in Armed Forces Pacific →

Registry record

NPI: 1538396064
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2009
Record last updated: 30 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.