Organization
L JOANNE HEDGECOCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L JOANNE HEDGECOCK (PRES)
(307) 857-2000
Entity
Organization
Contact information
Practice address
1025 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-2000
(307) 857-0339
Mailing address
1025 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-2000
(307) 857-0339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3454A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107146700
—
WY
01
—
2347
BLUE CROSS-BLUE SHIELD
WI
Enumeration date
07/15/2008
Last updated
07/15/2008
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