Individual
GREG L LEDGERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 W INDIAN AVE, BREWSTER, WA 98812
(509) 689-2525
(509) 689-3247
Mailing address
PO BOX 337, BREWSTER, WA 98812-0337
(509) 689-2525
(509) 689-3247
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
MD00012638
WA
207Q00000X
Family Medicine Physician
Primary
MD00012638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003813
—
WA
01
—
202565
L&I
—
Enumeration date
03/29/2006
Last updated
03/04/2008
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