Organization
EXECMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HEDEQUIST (MEMBER)
(855) 633-3544
Entity
Organization
Contact information
Practice address
8244 122ND AVE NE, KIRKLAND, WA 98033-8017
(855) 633-3544
Mailing address
PO BOX 55, WATSONTOWN, PA 17777-0055
(570) 538-4488
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
AIR.ES.60303866
WA
Other
Enumeration date
10/17/2012
Last updated
09/12/2013
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