Individual
TYLER HEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 CHANNING WAY STE 306, IDAHO FALLS, ID 83404-7546
(208) 535-4400
(208) 535-4404
Mailing address
PO BOX 741716, ATLANTA, GA 30374-1716
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-13194
ID
Other
Enumeration date
04/12/2012
Last updated
11/25/2020
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