Individual
JONATHAN DAWSON HEDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-4955
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-4955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10094291-1205
UT
208000000X
Pediatrics Physician
Primary
197005
AK
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2015
Last updated
03/21/2024
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