Individual
THOMAS L. HEDGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-5342
(818) 727-1451
Mailing address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-5342
(818) 727-1451
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G35064
CA
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
G35064
CA
Other
Enumeration date
04/13/2006
Last updated
09/08/2010
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