HEIDI FREYA QUEEN M.D

655 REDWOOD HWY FRONTAGE RD STE 200, MILL VALLEY, CA, 949413055

atlas:atm_npi_1467490789

Block 2006Block Group 2Census Tract 1262Marin County California United States

What is stored

status: A
address: 655 REDWOOD HWY FRONTAGE RD STE 200, MILL VALLEY, CA, 949413055
npi: 1467490789
license: A62115
taxonomy: Emergency Medicine
other names: []
last updated: 2025-04-01
license state: CA
taxonomy code: 207P00000X
all taxonomies: ["Emergency Medicine"]
sole proprietor: NO
enumeration date: 2006-06-02
enumeration type: NPI-1
practice locations: 0

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Read fact fields

{
  "npi": "1467490789",
  "status": "A",
  "address": "655 REDWOOD HWY FRONTAGE RD STE 200, MILL VALLEY, CA, 949413055",
  "license": "A62115",
  "taxonomy": "Emergency Medicine",
  "other_names": [],
  "last_updated": "2025-04-01",
  "license_state": "CA",
  "taxonomy_code": "207P00000X",
  "all_taxonomies": [
    "Emergency Medicine"
  ],
  "sole_proprietor": "NO",
  "enumeration_date": "2006-06-02",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}