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Contact Information

LESLIE N HEDDLESTON, MD
1417 S CLIFF AVE
STE 100
SIOUX FALLS, SD57105-1063
 Phone: 605-322-8937
 Fax: 605-322-8938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LESLIE N HEDDLESTON · (Male)

NPI Number 1639240732
Status Active
Credentials MD
Entity Individual
Enumeration date 11/11/2006
Last updated 10/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 3758
  • IA Medicaid 1639240732
  • MN Medicaid 774219300
  • NE Medicaid 10025040700
  • SD Medicaid 6200053
  • CA Other G54151 CALIFORNIA STATE LICENSE
  • MN Other 658C9HE BLUE CROSS
  • MN Other 658C9HE CC SYSTEMS/ BLUE PLUS
  • MN Other 924114229808 PRIMEWEST
  • SD Other 1639240732 ARAZ/AMERICA'S PPO
  • SD Other 4993265 BLUE CROSS
  • SD Other 3758 DAKOTACARE
  • SD Other 370624200 DEPT OF LABOR
  • SD Other HP30795 HEALTHPARTNERS
  • SD Other 1639240732 MEDICA
  • SD Other 1658 MIDLANDS CHOICE
  • SD Other 283761009502 PREFERRED ONE
  • SD Other 3758 SD STATE LICENSE
  • SD Other 57105AD06 WPS TRICARE
Hospital affiliation(s)
  • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care)
    1325 S CLIFF AVE POST OFFICE BOX 5045
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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