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NPI Code Detail

MEDICARE: DR. CRAIG PHILLIP HEDGES MD

MEDICARE: DR. CRAIG PHILLIP HEDGES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician3529SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14996178OTHERSDBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184621013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG PHILLIP HEDGES MD
Provider Business Mailing Address
First Line : 2315 W 57TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5046
Country : US
Telephone Number : 605-336-3503
Fax Number : 605-336-6010
Provider Business Practice Location Address
First Line : 2315 W 57TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5046
Country : US
Telephone Number : 605-336-3503
Fax Number : 605-336-6010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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Directions to “ DR. CRAIG PHILLIP HEDGES MD” Practice Location

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