| Jeffrey G Hedge Do Pllc | |
|
906 W 2nd Ave Spokane WA 99201-4538 | |
| (509) 458-5889 | |
| Not Available |
| Full Name | Jeffrey G Hedge Do Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 906 W 2nd Ave, Spokane, Washington |
| Authorized Official Name and Position | Jeffrey George Hedge (OWNER) |
| Authorized Official Contact | 5094585889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey G Hedge Do Pllc 906 W 2nd Ave Spokane WA 99201-4538 Ph: (509) 458-5889 | Jeffrey G Hedge Do Pllc 906 W 2nd Ave Spokane WA 99201-4538 Ph: (509) 458-5889 |
| NPI Number | 1962942748 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Medicare PECOS PAC ID | 8123302064 |
|---|---|
| Medicare Enrollment ID | O20170221001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962942748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OP00001320 (Washington) | Primary |
| Provider Name | Jeffrey G Hedge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407935521 PECOS PAC ID: 7517954746 Enrollment ID: I20040428001394 |
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