Individual
MR. CHARLES ALLEN HEGDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 S BALTIMORE AVE, TULSA, OK 74119-2804
(918) 779-7203
(918) 779-7244
Mailing address
1214 S BALTIMORE AVE, TULSA, OK 74119-2804
(918) 779-7203
(918) 779-7244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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