Individual
DR. JOHN KEITH HEDGECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 RIFE MEDICAL LANE, ROGERS, AR 72758-1452
(479) 338-8000
(501) 664-0302
Mailing address
PO BOX 1559, DEPT 241, TULSA, OK 74101-1559
(877) 243-8418
(918) 663-2281
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C-8265
AR
2085R0202X
Diagnostic Radiology Physician
C8265
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134366001
—
AR
Enumeration date
04/19/2006
Last updated
03/30/2012
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