Provider Demographics
NPI:1760663538
Name:WAMPLER, HEIDI S (DVM)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:S
Last Name:WAMPLER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 N MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7227
Mailing Address - Country:US
Mailing Address - Phone:406-449-4455
Mailing Address - Fax:406-449-6205
Practice Address - Street 1:4880 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7227
Practice Address - Country:US
Practice Address - Phone:406-449-4455
Practice Address - Fax:406-449-6205
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1869174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian