Individual
PAUL RICHARD HEDGES
Active
Individual
PAUL RICHARD HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09808
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075174000
—
WV
05
—
0798212
—
OH
01
—
55035705705
WV COMPENSATION
WV
01
—
5503570579J30
ANTHEM BCBS
—
01
—
9808C
HEALTH PLAN OF UPPER OH V
—
Enumeration date
08/09/2005
Last updated
07/08/2007
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